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Matthew Bonaventure, P.A-C
NPI 1104182195 · on the registry since 2012 · sole proprietor
Practice
- Address
- 231 N Judd Pkwy Ne
Fuquay Varina, NC 27526 - Phone
- (919) 235-6560
- Organisation at this address
- Bryden Mccormick Dds
Wake Specialty Physicians Llc
Wakemed Specialists Group Llc
Wakemed Specialists Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Also registered as
- Physician Assistant
Medical Physician Assistant - Licence states on file
- NC, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina