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Individual
DR. BRUCE ROBERT MADDERN
Active
Individual
DR. BRUCE ROBERT MADDERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
ME0056292
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
ME0056292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205114006
CIGNA
FL
05
—
061886100
—
FL
01
—
08675
BCBS
FL
01
—
12056336
MULTIPLAN
FL
01
—
203211
AV MED
FL
01
—
2218700
AETNA
FL
01
—
P2759499
OXFORD
FL
Enumeration date
02/03/2006
Last updated
06/25/2014
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