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Individual

MRS. SUSAN HATHAWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
879 LAFAYETTE RD, HAMPTON, NH 03842
(603) 929-1195
(603) 929-1196
Mailing address
7 HOLLAND WAY FL 1, EXETER, NH 03833-2997
(603) 929-1195
(603) 929-1196

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0371
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3075895
NH
Enumeration date
09/08/2005
Last updated
07/17/2019
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