Leo M. Bonaventura in Newburgh - Gynecology
Leo M. Bonaventura - NPI 1962419085
Leo M. Bonaventura is a Gynecology in Newburgh, Indiana. Leo M. Bonaventura practices all healthcare services and medical treatments related to Gynecology. 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 |
|---|---|
| Address | 4199 Gateway Blvd, Newburgh, Indiana |
| Phone Number | 8128424530 |
| Fax Number | 8128424535 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962419085 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2011-01-25 |
Provider Mailing Address Detail
| Address | 4199 Gateway Blvd |
|---|---|
| City | Newburgh |
| State | Indiana (IN) |
| Post Code | 476308940 |
| Phone Number | 8128424530 |
| Fax Number | 8128424535 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | 1022970 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
|
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 Gynecology, and the corresponding taxonomy code is 207Vg0400X.
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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