Organization
HATHAWAY EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELAINE G HATHAWAY M.D. (OWNER)
(732) 565-1500
Entity
Organization
Contact information
Practice address
49 VERONICA AVE, SUITE 204, SOMERSET, NJ 08873-6802
(732) 565-1500
(732) 565-1501
Mailing address
PO BOX 7074, MONROE TOWNSHIP, NJ 08831-9998
(732) 565-1500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA06237200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106627L5H
MEDICARE ID - TYPE UNSPECIFIED
—
Enumeration date
04/29/2014
Last updated
04/29/2014
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