Provider Demographics
NPI:1487092490
Name:BONAPARTE-DOTTA, LEAH ASHLEY (MD)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:ASHLEY
Last Name:BONAPARTE-DOTTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N 17TH ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-5052
Mailing Address - Country:US
Mailing Address - Phone:910-484-2284
Mailing Address - Fax:910-484-1673
Practice Address - Street 1:400 N 17TH ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-5052
Practice Address - Country:US
Practice Address - Phone:910-484-2284
Practice Address - Fax:910-484-1673
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC35884207W00000X
SCLL35884207R00000X
NC2018-00520207W00000X
PAMD477484207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine