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Individual
DR. BRUCE L TJADEN JR.
Active
Individual
DR. BRUCE L TJADEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
94-07612
KS
2086S0129X
Vascular Surgery Physician
Primary
25MA10936700
NJ
2086S0129X
Vascular Surgery Physician
R4153
TX
Other
Enumeration date
05/16/2011
Last updated
11/30/2020
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