Leo M. Bonaventura in Newburgh - Reproductive Endocrinology
Leo M. Bonaventura - NPI 1962419085
Leo M. Bonaventura is a Reproductive Endocrinology in Newburgh, Indiana. Leo M. Bonaventura practices all healthcare services and medical treatments related to Reproductive Endocrinology. The NPI Number for Leo M. Bonaventura is 1962419085. The last update date is 2011-01-25.
Leo M. Bonaventura's current location address is 4199 Gateway Blvd, Newburgh, Indiana. You can contact this provider via phone number 8128424530 and fax number 8128424535. The mailing address for Leo M. Bonaventura is 4199 Gateway Blvd, Newburgh, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Leo M. Bonaventura |
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Address | 4199 Gateway Blvd, Newburgh, Indiana |
Phone Number | 8128424530 |
Fax Number | 8128424535 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1962419085 |
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Provider Enumeration Date | 2006-08-02 |
Last Updated Date | 2011-01-25 |
Provider Mailing Address Detail
Address | 4199 Gateway Blvd |
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City | Newburgh |
State | Indiana (IN) |
Post Code | 476308940 |
Phone Number | 8128424530 |
Fax Number | 8128424535 |
Provider's Primary Taxonomy Detail
Speciality | Reproductive Endocrinology |
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Taxonomy | 207Ve0102X |
Licence No | 1022970 |
Definition: An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
328110 | IN | ANTHEM | |
580355 | IN | ANTHEM |
Post Comment/ Review Below
What is the Leo M. Bonaventura's 1962419085?
The Leo M. Bonaventura's NPI (National Provider Identifier) Number is 1962419085. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Leo M. Bonaventura's facilities are geographically located?
The facilities of Leo M. Bonaventura are physically situated at the following location: 4199 Gateway Blvd, Newburgh, IN, 476308940.
What is the Leo M. Bonaventura's specialty and taxonomy code?
The Leo M. Bonaventura's specialty is Reproductive Endocrinology, and the corresponding taxonomy code is 207Ve0102X.
On what date did Leo M. Bonaventura receive its 1962419085 assignment from the Centers for Medicare & Medicaid Services?
The Leo M. Bonaventura was assigned its 1962419085 on 2006-08-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Leo M. Bonaventura most recently updated or refreshed?
The details pertaining to the Leo M. Bonaventura, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-01-25.
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