Individual
DR. ELAINE GREEN HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
317 CLEVELAND AVE, HIGHLAND PARK, NJ 08904-1817
(732) 828-5190
(732) 828-0677
Mailing address
317 CLEVELAND AVE, HIGHLAND PARK, NJ 08904-1817
(732) 828-5190
(732) 828-0677
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA06237200
NJ
Other
Enumeration date
09/29/2006
Last updated
09/20/2012
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