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NPI Code Detail

MEDICARE: ROBERT ADAM GOLDSTEEN DO

MEDICARE: ROBERT ADAM GOLDSTEEN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianDO36721SC
2207R00000XInternal Medicine Physician36721SC

General Provider Information

NPI Number : 1083676266
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT ADAM GOLDSTEEN DO
Provider Business Mailing Address
First Line : PO BOX 3439
Second Line :
City : NORTH MYRTLE BEACH
State : SC
Zip : 29582-0439
Country : US
Telephone Number : 843-839-4447
Fax Number : 843-399-0123
Provider Business Practice Location Address
First Line : 4591 SOCASTEE BLVD
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29588-7209
Country : US
Telephone Number : 843-497-5929
Fax Number : 866-778-9611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 07/27/2016

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Directions to “ ROBERT ADAM GOLDSTEEN DO” Practice Location

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