Individual provider · Type 1 NPI
Leo M. Bonaventura, MD
Reproductive Endocrinology Physician · Newburgh, IN
NPI number
1962419085
Active
Practice location
4199 Gateway Blvd, Suite 2900
Newburgh, IN 47630-8940
Fax (812) 842-4535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician | 207VG0400X | 01022970 (IN) |
| Reproductive Endocrinology Physician Primary | 207VE0102X | 01022970 (IN) |
Reproductive Endocrinology Physician: An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
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About NPI 1962419085
Leo M. Bonaventura, MD's National Provider Identifier is 1962419085, issued on Aug 2, 2006. The primary taxonomy on file is Reproductive Endocrinology Physician (207VE0102X), and the practice location is in Newburgh, IN. The record was last updated on Jan 25, 2011.