| Dr. Bonnie Llc | |
|
1020 N Kings Hwy Suite 208 Cherry Hill NJ 08034-1906 | |
| (856) 216-1509 | |
| (856) 216-1509 |
| Full Name | Dr. Bonnie Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1020 N Kings Hwy, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Bonnie Levin (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8566673948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Bonnie Llc 1020 Kings Hwy N Ste 105 Cherry Hill NJ 08034-1939 Ph: (856) 667-3947 | Dr. Bonnie Llc 1020 N Kings Hwy Suite 208 Cherry Hill NJ 08034-1906 Ph: (856) 216-1509 |
| NPI Number | 1710259536 |
|---|---|
| Provider Enumeration Date | 02/09/2012 |
| Last Update Date | 04/11/2024 |
| Medicare PECOS PAC ID | 3678732450 |
|---|---|
| Medicare Enrollment ID | O20120314000490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710259536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bonnie L Levin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841371028 PECOS PAC ID: 0143237446 Enrollment ID: I20060310000625 |
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