Individual
MICHELLE HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 KINGS WAY W UNIT D1, SEWELL, NJ 08080-2235
(856) 352-6572
(856) 352-6710
Mailing address
222 NEW RD STE 201, LINWOOD, NJ 08221-1281
(609) 788-8593
(609) 904-6929
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00320600
NJ
363AM0700X
Medical Physician Assistant
TC827
KY
Other
Enumeration date
10/02/2013
Last updated
03/03/2026
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