Individual provider · Type 1 NPI

Michelle Hathaway, PA-C

Medical Physician Assistant · Sewell, NJ

NPI number 1558798702 Active

Practice location

100 Kings Way W Unit D1
Sewell, NJ 08080-2235

Call (856) 352-6572 Map

Fax (856) 352-6710

Mailing address

222 New Rd Ste 201
Linwood, NJ 08221-1281

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XTC827 (KY)
Medical Physician Assistant Primary 363AM0700X25MP00320600 (NJ)

Medical Physician Assistant: Definition to come...

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About NPI 1558798702

Michelle Hathaway, PA-C's National Provider Identifier is 1558798702, issued on Oct 2, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sewell, NJ. The record was last updated on Mar 3, 2026.