# DR. EMELYNN JOANNE FAJARDO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1457615460
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080S0010X | Pediatric Sports Medicine Physician | 25MB09117500 | NJ | — |
| 2080S0010X | Pediatric Sports Medicine Physician | C2-0013079 | DE | Yes |
| 2080S0010X | Pediatric Sports Medicine Physician | OS019939 | PA | — |

## Other

- **Enumeration date:** 06/25/2012
- **Last updated:** 04/29/2019