Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EMELYNN JOANNE FAJARDO, D.O.
Active Sole ProprietorDR. EMELYNN JOANNE FAJARDO, D.O. is a Sports Medicine (Pediatrics) healthcare provider located in WILMINGTON, Delaware. NPI 1457615460 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Pediatrics) · WILMINGTON, DE
Registration Details
- NPI Number
- 1457615460
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 25, 2012 (14.17766747997 yrs)
- Last Updated
- Apr 29, 2019
- Licenses
-
C2-0013079 (DE)25MB09117500 (NJ)OS019939 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1600 ROCKLAND RDWILMINGTON, DE, 198033607Browse DE providers · Browse ZIP 19803
- Phone
- 3026514200
- Fax
- 3026515951
- Primary Specialty
-
Sports Medicine (Pediatrics)
2080S0010X
- Additional Specialty
- Sports Medicine (Pediatrics)
- Additional Specialty
- Sports Medicine (Pediatrics)
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.