Individual
DR. BONNIE LORRAINE LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1020 KINGS HWY N STE 105, CHERRY HILL, NJ 08034-1939
(856) 667-3948
(856) 321-8326
Mailing address
1020 KINGS HWY N STE 105, CHERRY HILL, NJ 08034-1939
(856) 667-3948
(856) 321-8326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB05002400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0790383001
AMERIHEALTH
NJ
01
—
1134833
HORIZON MERCY
NJ
05
—
2271702
—
NJ
01
—
2311851
AETNA
NJ
01
—
522235995
HORIZON BC/BS
NJ
Enumeration date
10/17/2006
Last updated
04/11/2024
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