person
Dr. Nicholas John Hathaway, MD,PHD
Student in an Organized Health Care Education/Training Program in Worcester, Massachusetts
NPI 1750919056

Nicholas John Hathaway is a Student in an Organized Health Care Education/Training Program based in Worcester, MA. Nicholas John Hathaway practices in Worcester, MA and has the professional credentials of MD,PHD. The NPI Number for Nicholas John Hathaway is 1750919056 and holds a License No. 390200000X (Massachusetts).

The current practice location address for Nicholas John Hathaway is 55 Lake Ave N, Worcester, MA and can be reached out via phone at 508-334-1000.

Location: 55 Lake Ave N, Worcester, MA, 01655-0002
person
Provider Profile Details
NPI Number
1750919056
Provider Name
Nicholas John Hathaway
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Worcester, MA, 01655-0002
Phone Number
508-334-1000
Fax Number
Provider Enumeration Date
03/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55 Lake Ave N
City
State
Zip
01655-0002
Phone Number
508-334-1000
Fax Number
person
Provider Business Mailing Address Details
Address
55 Lake Ave N
City
State
Zip
01655-0002
Phone Number
508-334-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
390200000X (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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