Healthcare Provider Details

I. General information

NPI: 1265478333
Provider Name (Legal Business Name): BRUCE ELIAS KAMEN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9307 PACIFIC AVENUE UNIT B
MARGATE NJ
08402-2325
US

IV. Provider business mailing address

9307 PACIFIC AVENUE UNIT B BRUCE E KAMEN DPM
MARGATE NJ
08402-2325
US

V. Phone/Fax

Practice location:
  • Phone: 856-904-3393
  • Fax:
Mailing address:
  • Phone: 856-904-3393
  • Fax: 856-616-1352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number25MD00139800
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC002449L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: