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Individual
DR. EMELYNN JOANNE FAJARDO
Active
Individual
DR. EMELYNN JOANNE FAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
25MB09117500
NJ
2080S0010X
Pediatric Sports Medicine Physician
Primary
C2-0013079
DE
2080S0010X
Pediatric Sports Medicine Physician
OS019939
PA
Other
Enumeration date
06/25/2012
Last updated
04/29/2019
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