| Organization Name: | THOMAS A. CARINE D.P.M. INC. A PROFESSIONAL CORPORATION |
| NPI Number: | 1003121039 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS ANTHONY CARINE (PRESIDENT) |
| Mailing Address: | 2040 Forest Ave Suite 7 San Jose |
| State: | CA US |
| Postal Code: | 951284810 |
| Phone Number: | 4082875751 |
| Fax Number: | 4082875750 |
| NPI Enumeration Date: | 08/14/2010 |
| NPI Last Update Date: | 10/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | E2090 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |