Destination:
Cartagena Colombia
Home ::
2006 schedule
Click
Here for Online Membership Registration Form (You
must be an approved
Team Member before
Registering)
or
~~DOWNLOAD
MEMBERSHIP FORMS
HERE~~
IF the chart below shows
that a
CV, and or copy of
your medical
license is needed,
please fax or email
them to
the office right
away. We need
these to secure your
working permits in
country.
Destination:
Cartagena
Colombia
Specialty:
Plastic Surgery
Team Leader:
Dr. Robert
Gilman |
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Dates:
May,
10 - 19,
2006 |
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Sponsor:
Rotary
Club of
Cartagena
Hospital:
Napoleon
Franco in
Cartagena
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Updates: |
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Site Contact
Info.:
Contact:
Jose Luis
Figueroa
57-5-668
8052
Fax:
57-5-668
8059
e/m:
jlfigueroa@dow.com
Hotel Info:
Hotel
Caribe
Phone 57 5
665 0155
Supplies/
shipping
contact:
Ray Rueda /
Honor Int'l
e/m: rrueda@honorintl.com
See below
for flight
information
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Click on any
Team member
name in blue
to send an
e-mail |
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Administrative
Contact:
Lisa Magyar
lisa.magyar@sap.com |
mail entire
team |
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Participants: |
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SURGEONS: |
CV |
Lic |
Clinical
Specialty
Form
|
Health/
Med
Hist |
Signed
Release
|
Passport
Info |
Credit
Card
Auth |
2006 Dues |
Air
Fare |
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Robert
Gilman,
Team Leader |
in
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in
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in
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in
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in
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in
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in
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cc
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cc
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Richard
Ehrlichman,
MD
Plastic
Surg. |
in
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in
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in
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in
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in
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in
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in
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cc
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cc
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Ziv
Peled,
MD
(Res) |
in
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NA
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in
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in
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in
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in
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in
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cc
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cc
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Christie
Cavalier,
MD
(Res) |
in
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in
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in
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in
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in
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in
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in
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cc
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cc
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ANESTHESIOLOGY: |
CV |
Lic |
Clinical
Specialty
Form
|
Health/
Med
Hist |
Signed
Release
|
Passport
Info |
Credit
Card
Auth |
2006 Dues |
Air
Fare |
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David
Napoli,
MD |
in
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in
|
in
|
in
|
in
|
in
|
in
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cc
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cc
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Richard
Shockley,
MD |
in
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in
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in
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in
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in
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in
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in
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cc
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cc
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Clare
Golden,
CRNA |
in
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in
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in
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in
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in
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in
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in
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cc
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in
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PEDIATRICS:
PACU |
CV |
Lic |
Clinical
Specialty
Form
|
Health/
Med
Hist |
Signed
Release
|
Passport
Info |
Credit
Card
Auth |
2005 Dues |
Air
Fare |
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Simi
Khangura,
MD |
in
|
in
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in
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in
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in
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in
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in
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cc
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cc
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NURSING:
OR |
CV |
Lic |
Clinical
Specialty
Form
|
Health/
Med
Hist |
Signed
Release
|
Passport
Info |
Credit
Card
Auth |
2006 Dues |
Air
Fare |
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Kathleen
Pavesi,
RN
Head
OR |
in
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in
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in
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in
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in
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in
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in
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cc
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cc
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Anne
Marie
Austin,
RN/OR |
in
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in
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in
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in
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in
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in
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in
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cc
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cc
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Caroline
Muriama,
Tech
|
in
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NA
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in
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in
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in
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in
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in
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cc
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cc
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Melanie
Tritt,
RN
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in
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in
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in
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in
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in
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in
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in
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cc
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cc
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NURSING
/
PACU |
CV |
Lic |
Clinical
Specialty
Form
|
Health/
Med
Hist |
Signed
Release
|
Passport
Info |
Credit
Card
Auth |
2006 Dues |
Air
Fare |
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Virginia
King,
RN,
RR |
in
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in
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in
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in
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in
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in
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NA
|
in
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in
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Margaret
DiStassio,
RN,RR |
in
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in
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in
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in
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in
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in
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in
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cc
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cc
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Administration |
CV |
Lic |
Clinical
Specialty
Form
|
Health/
Med
Hist |
Signed
Release
|
Passport
Info |
Credit
Card
Auth |
2006 Dues |
Air
Fare |
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Lisa
Magyar |
n/a
|
n/a
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n/a
|
in
|
in
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in
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in
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cc
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cc
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Alicia
Worden
-
translator |
NA
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NA
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NA
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in
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in
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in
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in
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cc
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cc
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Flight
Information:
Travel Agent:
Shelley Cruz,
WorldTek Travel, New Haven
CT. 203-773-6422.
Please
contact
Shelley to arrange
the domestic portion
of your flight
Wed. May
10, Avianca
Flight 035 from
Miami Departs
2:00PM,
Arrives in Cartagena
3:40 PM
Friday May
19, Avianca Flight
9753 from Cartagena
Departs 6:20 AM,
Arrives in Bogota
7:40 AM
Avianca Flight 06
from Bogota Departs
10:50 AM, Arrives in
Miami 3:30 PM
Please
note: If for any
reason you are
unable to travel it
is important that
you contact the Team
Leader or Admin
right away so that
your spot can be
filled. If you
get sick and are
unable to travel at
the last minute,
please also contact
the airline and
notify them that you
will not be using
your ticket.
This will allow us
to negotiate (with a
doctors note) a
replacement voucher
for a future
trip. If you
do not notify them
before the flight
leaves the ticket
will be lost.
Departure
Flights: TBA
Return
flight: TBA
Fax Forms to HTC
at 860-350-6634
Mail Forms to HTC at
P.O. Box 129, New
Milford, CT 06776
E-mail to mlaw@htcne.org
or Lcohn@htcne.org |
