# LISA M. BONAVENTURA, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184721227
- **Authorized official:** LISA M. BONAVENTURA M.D. (P.A. PHYSICIAN/OWNER)
- **Authorized official phone:** (908) 781-9661

## Contact information

- **Practice address:** 2345 LAMINGTON RD, SUITE 104, BEDMINSTER, NJ 07921-2612
- **Practice address phone:** (908) 781-9661
- **Practice address fax:** (908) 781-2106
- **Mailing address:** 2345 LAMINGTON RD, SUITE 104, BEDMINSTER, NJ 07921-2612
- **Mailing address phone:** (908) 781-9661
- **Mailing address fax:** (908) 781-2106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA51694 | NJ | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 01/12/2010