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Individual

BRUCE ELIAS KAMEN

Active
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Individual

BRUCE ELIAS KAMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00139800
NJ
213E00000X
Podiatrist
Primary
SC002449L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009510540003
—
PA
01
—
024974
MEDICARE
NJ
01
—
448333
MEDICARE
PA
01
—
480003154
RR MC
DE
01
—
480003154
RR MC
NJ
01
—
480003154
RR MC
PA
05
—
5588201
—
NJ
Enumeration date
06/20/2006
Last updated
10/24/2025
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