Provider Demographics
NPI:1851007546
Name:ALEXIS, SASKIA JR
Entity Type:Individual
Prefix:
First Name:SASKIA
Middle Name:
Last Name:ALEXIS
Suffix:JR
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 W HOLLY AVE
Mailing Address - Street 2:
Mailing Address - City:PITMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08071-1300
Mailing Address - Country:US
Mailing Address - Phone:609-516-9604
Mailing Address - Fax:
Practice Address - Street 1:660 WOODBURY GLASSBORO RD
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-3735
Practice Address - Country:US
Practice Address - Phone:856-415-6188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide