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Organization

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

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA M. BONAVENTURA M.D. (P.A. PHYSICIAN/OWNER)
(908) 781-9661
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA51694
NJ

Other

Enumeration date
09/20/2006
Last updated
01/12/2010
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