Provider Demographics
NPI:1114103363
Name:CARINO, CHRISTINE M
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:M
Last Name:CARINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 MAIN ST UNIT 206
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-2652
Mailing Address - Country:US
Mailing Address - Phone:781-953-9647
Mailing Address - Fax:
Practice Address - Street 1:30 PATRICK LOOP
Practice Address - Street 2:66TH MEDICAL GROUP
Practice Address - City:HANSCOM AFB
Practice Address - State:MA
Practice Address - Zip Code:01731-2907
Practice Address - Country:US
Practice Address - Phone:781-377-7476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25830183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist