Healthcare Provider Details

I. General information

NPI: 1235005059
Provider Name (Legal Business Name): OLIVIA KATHERINE SAEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 N SUSSEX ST
DOVER NJ
07801-3958
US

IV. Provider business mailing address

38 WABENO AVE APT D
SPRINGFIELD NJ
07081-1854
US

V. Phone/Fax

Practice location:
  • Phone: 973-366-0976
  • Fax:
Mailing address:
  • Phone: 973-563-5483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04456400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: