Individual
DR. THOMAS EDWARD DICARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12200 WARWICK BLVD STE 410, NEWPORT NEWS, VA 23601-2548
(757) 534-5454
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2013-01830
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
241151
MA
208100000X
Physical Medicine & Rehabilitation Physician
0101264413
VA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD61046300
WA
208D00000X
General Practice Physician
0101264413
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013-01830
NORTH CAROLINA MEDICAL BOARD
NC
Enumeration date
07/02/2009
Last updated
01/26/2023
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