Individual
DR. MARK HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 4TH ST NE, WASHINGTON, DC 20002-3431
(202) 347-8512
Mailing address
1225 4TH ST NE, WASHINGTON, DC 20002-3431
(202) 347-8512
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D0052934
MD
207V00000X
Obstetrics & Gynecology Physician
Primary
MD21559
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025687900
—
DC
05
—
759210800
—
DC
Enumeration date
01/20/2006
Last updated
03/21/2025
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