Individual
RUSSELL TIGGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1910 SOUTH RD, POUGHKEEPSIE, NY 12601-6027
(845) 454-0120
(845) 454-6080
Mailing address
1910 SOUTH RD, POUGHKEEPSIE, NY 12601-6027
(845) 454-0120
(845) 454-6080
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
206940
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01745019
—
NY
Enumeration date
07/09/2006
Last updated
09/30/2015
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