Individual
EMILY HATTEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 N PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3603
(570) 491-0126
Mailing address
15 BAYBERRY DR, MAHWAH, NJ 07430-1502
(201) 419-9300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA067133
PA
Other
Enumeration date
09/03/2025
Last updated
12/15/2025
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