=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891857140
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAPE OBSTETRICS AND GYNECOLOGY PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/14/2006
-----------------------------------------------------
Last Update Date | 12/02/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 182 PALMER AVE
-----------------------------------------------------
City | FALMOUTH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02540
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-457-0088
-----------------------------------------------------
Fax | 508-540-9613
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 182 PALMER AVE
-----------------------------------------------------
City | FALMOUTH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02540
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-457-0088
-----------------------------------------------------
Fax | 508-540-9613
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JEAN E TALBERT
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 508-457-0088
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------