Individual
BONNY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
755 MEMORIAL PKWY STE 202A, PHILLIPSBURG, NJ 08865-2773
(484) 658-9330
(908) 847-7521
Mailing address
755 MEMORIAL PKWY STE 202A, PHILLIPSBURG, NJ 08865-2773
(484) 658-9330
(908) 847-7521
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD473577
PA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
25MA12780800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14639019
CAQH
—
Enumeration date
04/12/2016
Last updated
01/13/2026
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