Healthcare Provider Details

I. General information

NPI: 1609967934
Provider Name (Legal Business Name): CAPE GERIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194 MAIN ST
WAREHAM MA
02571-2112
US

IV. Provider business mailing address

194 MAIN ST
WAREHAM MA
02571-2112
US

V. Phone/Fax

Practice location:
  • Phone: 508-295-4450
  • Fax:
Mailing address:
  • Phone: 508-295-4450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS V GEAGAN
Title or Position: PARTNER
Credential: M.D.
Phone: 508-295-4450