Provider Demographics
NPI:1780721373
Name:ENGLEMAN, ROBERT ALLAN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALLAN
Last Name:ENGLEMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1021 2ND AVE N
Mailing Address - Street 2:SUITE 5
Mailing Address - City:NORTH MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29582-3200
Mailing Address - Country:US
Mailing Address - Phone:803-233-4265
Mailing Address - Fax:206-350-8333
Practice Address - Street 1:1021 2ND AVE N
Practice Address - Street 2:SUITE 5
Practice Address - City:NORTH MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29582-3200
Practice Address - Country:US
Practice Address - Phone:803-233-4265
Practice Address - Fax:206-350-8333
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2011-08-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC296002084P0800X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine