IndividualActive
Leo Bonaventura, MD
NPI 1962419085 · Reproductive Endocrinology Physician · Newburgh, IN
Provider details
- NPI number
- 1962419085
- Entity type
- Individual
- Primary specialty
- Reproductive Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01022970 (IN)
Practice location
4199 Gateway Blvd
Suite 2900
Newburgh, IN 47630-8940
Phone: (812) 842-4530
Fax: (812) 842-4535
Mailing address
4199 Gateway Blvd
Newburgh, IN 47630-8940
Registry dates
- Enumerated
- 2006-08-02
- Last updated
- 2011-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.