Healthcare Provider Details

I. General information

NPI: 1427048925
Provider Name (Legal Business Name): ARTHUR H MCTIGHE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 04/08/2020
Certification Date: 04/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33001 VENEZIA WAY
OCEAN VIEW DE
19970-9040
US

IV. Provider business mailing address

33001 VENEZIA WAY
OCEAN VIEW DE
19970-9040
US

V. Phone/Fax

Practice location:
  • Phone: 570-490-0835
  • Fax:
Mailing address:
  • Phone: 570-490-0835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberC1-0007068
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code207ZM0300X
TaxonomyMedical Microbiology Physician
License NumberC1-0007068
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberC1-0007068
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License NumberC1-0007068
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: