Provider Demographics
NPI:1336136399
Name:CAPLAN, RANDY H (DO)
Entity Type:Individual
Prefix:DR
First Name:RANDY
Middle Name:H
Last Name:CAPLAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MILL RD
Mailing Address - Street 2:STE 180
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:40 CHURCH AVENUE
Practice Address - Street 2:SUITE 103
Practice Address - City:WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02571-1138
Practice Address - Country:US
Practice Address - Phone:508-295-3848
Practice Address - Fax:508-295-4565
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA75746207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110051108AMedicaid
MA110051108AMedicaid
MAJ1222401Medicare PIN
MAJ12224Medicare ID - Type Unspecified