Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER MALDONADO, DO
ActiveSports Medicine (EM) · FARMINGTON, CT
Registration Details
- NPI Number
- 1366029167
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2021 (5.0743802794049 yrs)
- Last Updated
- Nov 6, 2025
- Licenses
-
82438 (CT)82438 (CT)
Practice Information
- Address
-
263 FARMINGTON AVE # LG065FARMINGTON, CT, 060300001Browse CT providers · Browse ZIP 06030
- Phone
- 8606794988
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
- Additional Specialty
- Sports Medicine (EM)
Other Sports Medicine (EM) Providers in FARMINGTON, CT
| Name | Credential | NPI |
|---|---|---|
| DR. VENKAT SUBRAMANYAM | M.D. | 1437681434 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.