Healthcare Provider Details

I. General information

NPI: 1093815656
Provider Name (Legal Business Name): TIGHE CURTIS RICHARDSON D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2006
Last Update Date: 04/21/2020
Certification Date: 04/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 PILLSBURY ST STE 100
CONCORD NH
03301-3549
US

IV. Provider business mailing address

2 PILLSBURY ST STE 100
CONCORD NH
03301-3549
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-2020
  • Fax: 603-228-7061
Mailing address:
  • Phone: 603-224-2020
  • Fax: 603-228-7061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number34.011139
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License Number19324
License Number StateNH
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number19324
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: