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Home ::
2006 schedule
~~DOWNLOAD
MEMBERSHIP FORMS
HERE~~
Destination:
Chiang
Mai,
Thailand
Specialty:
Plastic
Surgery
Team Leader:
Dr. Mark
Weinstein |
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Dates:
February
9 - 20,
2006 |
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Sponsor:
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Updates: |
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Site Contact
Info.: Dr.
Somboon
Chaisrisawadisuk
011-669-956-4030
Maharaj
Nakorn
Chiang Mai
Hospital
Hotel Info:
The
Empress
Hotel,
Chiangmai
199/42 Chang
Klan Road
Chiang Mai
50100
Thailand
Tel. +
(66-53) 270
240
Fax: +
(66-53) 272
467
US
Citizens are
NOT
required
to have a
Visa to
enter
Thailand/
However
Foreign
Travelers
will need to
get their
own
Visas.
Our office
will help
with your
letters,
etc.
See
requirements
below.
See below
for flight
information
Credit
Card
Authorizations
/
Please be
sure to
indicate
charges for
Dues/
Airfare /
Hotel
fees.
|
lick on any
Team member
name in blue
to send an
e-mail |
|
Administrative
Contact:
Achara
Sessler
203-226-9105
/ w:
203-216-7109
/ Yanisess@aol.com |
Email entire
team |
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Participants: |
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|
Plastic
Surgeons |
Curriculum
Vitae |
License
to
Practice
Med.
|
Clinical
Specialty |
Health
Form
|
Signed
Release |
Passport Info |
Credit
Card
Auth |
2006
Dues |
Airfare |
Hotel |
|
Mark
H.
Weinstein,
MD
|
in
|
in
|
in
|
in
|
in
|
in
|
n/a
|
Paid
|
Paid
|
self
|
|
Jeffrey
Salomon,
MD
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
Paid
|
Paid
|
self
|
|
Zeno
Noel
Chicarilli,
MD
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
Paid
|
Paid
|
self
|
|
Scott
W.
Barttelbort,
MD
|
in
|
in
|
need
|
need
|
need
|
in
|
n/a
|
Paid
|
self
purchased
|
self
|
|
Stefano
Fusi,
MD
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
Paid
|
Paid
|
self
|
|
Bianca
Knoll,
MD
(
Res)
|
in
|
in
|
in
|
in
|
in
|
in
|
n/a
|
Paid
|
Paid
|
Yale
|
|
Michael
W.
Chen,
MD(Res)
|
in
|
n/a
|
in
|
in
|
in
|
in
|
n/a
|
Paid
|
Self
Purchased
|
Yale
|
|
Pediatrics |
Curriculum
Vitae |
License
to
Practice
Med.
|
Clinical
Specialty |
Health
Form
|
Signed
Release |
Passport Info |
Credit
Card
Auth |
2006
Dues |
Airfare |
Hotel |
|
Minna
Saslaw,
MD
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
Paid
|
Paid
|
cc
|
|
Damien
Chicarilli,
PA
|
in
|
in
|
in
|
in
|
in
|
in
|
n/a
|
Paid
|
Paid
|
self
|
|
Anesthesiology |
Curriculum
Vitae |
License
to
Practice
Med.
|
Clinical
Specialty |
Health
Form
|
Signed
Release |
Passport Info |
Credit
Card
Auth |
2006
Dues |
Airfare |
Hotel |
|
Rama
Sawhney,
MD
|
in
|
renewal
needed
|
in
|
need
|
need
|
renewal
needed
|
need
|
Paid
|
need
|
self
|
|
Robert
G.
Stout,
MD
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
Paid
|
Paid
|
self
|
|
Matthew
Christopher
Wallace,
MD
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
Paid
|
Paid
|
self
|
|
Denis
Hilel
Jabloka,
MD
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
Paid
|
Paid
|
self
|
|
William
Howard
Rosenblatt,
MD
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
Paid
|
Paid
|
self
|
|
Hugh
Miles
Pratt,
MD
|
in
|
NA
|
in
|
in
|
in
|
in
|
in
|
Paid
|
Paid
|
self
|
|
Nursing/OR
Techs |
Curriculum
Vitae |
License
to
Practice
Med.
|
Clinical
Specialty |
Health
Form
|
Signed
Release |
Passport Info |
Credit
Card
Auth |
2006
Dues |
Airfare |
Hotel |
|
John
Tangredi,
RN
(OR)
|
in
|
in
|
in
|
in
|
in
|
in
|
NA
|
Paid
|
Paid
|
fund
|
|
Ingrid
Crocco,
RN
(OR)
|
in
|
in
|
in
|
in
|
in
|
in
|
NA
|
Paid
|
Paid
|
fund
|
|
Laurie
Finta,
RN
(OR)
|
in
|
in
|
in
|
in
|
in
|
in
|
NA
|
Paid
|
Paid
|
fund
|
|
Maria
Geismar,
RN
(PACU)
|
in
|
in
|
in
|
in
|
in
|
in
|
NA
|
Paid
|
Paid
|
fund
|
|
Janet
O'Brien,
RN
(OR)
|
in
|
in
|
in
|
in
|
in
|
in
|
NA
|
Paid
|
Paid
|
fund
|
|
Carol
Phillips,
RN
(RR)
|
in
|
in
|
in
|
in
|
in
|
in
|
NA
|
Paid
|
Paid
|
| | | | | | | | | | | | |
