Doctor Name: | ROBERT ADAM GOLDSTEEN |
NPI Number: | 1083676266 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | DO36721 |
Business Practice Address: | 809 82nd Pkwy Myrtle Beach, SC - 295724607 |
Business Phone Number: | 8436921118 |
Business Fax Number: | |
Mailing Address: | 809 82nd Pkwy, MYRTLE BEACH |
State: | SC |
Postal Code: | 295724607 |
Phone Number: | 8436921118 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2006 |
NPI Last Update Date: | 10/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | DO36721 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |