Provider Demographics
NPI:1467751859
Name:SAENZ, JENNIFER (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:SAENZ
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:HICKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO, MPH
Mailing Address - Street 1:117 ALBANY TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:CT
Mailing Address - Zip Code:06019-2507
Mailing Address - Country:US
Mailing Address - Phone:860-658-3444
Mailing Address - Fax:860-658-8791
Practice Address - Street 1:117 ALBANY TURNPIKE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:CT
Practice Address - Zip Code:06019-2507
Practice Address - Country:US
Practice Address - Phone:860-658-3444
Practice Address - Fax:860-658-8791
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS14110207Q00000X
CT070050207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine