=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265478333
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRUCE ELIAS KAMEN DPM
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/20/2006
-----------------------------------------------------
Last Update Date | 10/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9307 PACIFIC AVENUE UNIT B
-----------------------------------------------------
City | MARGATE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08402-2325
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-904-3393
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9307 PACIFIC AVENUE UNIT B BRUCE E KAMEN DPM
-----------------------------------------------------
City | MARGATE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08402-2325
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-904-3393
-----------------------------------------------------
Fax | 856-616-1352
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number | 25MD00139800
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number | SC002449L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------