| Organization Name: | DR.BONNIE ,LLC |
| NPI Number: | 1710259536 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BONNIE LORRAINE LEVIN (PHYSICIAN) |
| Mailing Address: | 1020 N Kings Hwy Suite 208 Cherry Hill |
| State: | NJ US |
| Postal Code: | 080341906 |
| Phone Number: | 8562161509 |
| Fax Number: | 8562161509 |
| NPI Enumeration Date: | 02/09/2012 |
| NPI Last Update Date: | 02/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MB050024 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |