Destination:
Guatemala City,
Guatemala
Home ::
Click
Here for Online Registration Form
(All Team Members
please register on
line)
~~DOWNLOAD
MEMBERSHIP FORMS
HERE~~
~~Download
Trip Report Here~~
Destination:
Guatemala
City,
Guatemala
Specialty:
Urology, ENT
Plastics, Dentistry,
Autism
Education
Team Leader:
Dr. Jeffrey
Rabuffo |
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Dates:
February
10-17, 2007 |
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Sponsor:
Fundacion
Pediatrica
Guatemalteca |
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Updates: |
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Site Contact
Info.:
Fundacion
Pediatrica,
Dr. Luis
Genaro
Morales,
Director/
Maria Jose
de Gallardo,
Coordinator
4a Avenida
1-47, Zona
1, Apartado
Postla 2653,
Guatemala
City,
Guatemala
Phone:
011-502-2-253-3027
Maria's Cell
011-502-5-318-8094
Fax:
011-502-2-285-3910
Unidad
Quirurgica
Nino Jesus,
15 calle
"A"
10-27 Zona 1
Guatemala
City,
Guatemala
Medical
Director-
Lubyanka
Garzaro
Hotel Info:
Hotel
Viva Clarion
Suites 14
Calle 3-08
Zona 10
Phone
011-502-2421-3333
e-mail
hotelviva@clarionguatemala.com
Fax
011-502-2363-3303
See below
for flight
information |
Click on any
Team member
name in blue
to send an
e-mail |
Administrative
Contact:
Paul Martel
Days
1-800-526-8094
Eve.
1-860-658-4611
Fax
860-561-7055
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Email entire
team |
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Participants: |
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Surgery |
License to Practice |
Curriculum
Vitae
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Clinical
Specialty |
Health
Form
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Signed
Release |
Passport Info |
Credit
Card
Auth |
2007 Dues |
Airfare |
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Jeffrey Rabuffo
Team Leader |
in |
in |
in |
in |
in |
in |
in |
in |
in |
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Howard Boey |
in |
in |
in |
need |
need |
in |
in |
in |
in |
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Danuta
Jaworska |
in |
in |
in |
in |
in |
in |
in |
in |
in |
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Douglas
Macko |
in |
in |
in |
in |
in |
in |
in |
in |
in |
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Pediatrics |
License to Practice |
Curriculum
Vitae
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Clinical
Specialty |
Health
Form
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Signed
Release |
Passport Info |
Credit
Card
Auth |
2007 Dues |
Airfare |
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Rita Nenonen |
in |
in |
in |
in |
in |
in |
in |
in |
cc |
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Cliff
O'Callahan |
in |
in |
in |
in |
in |
in |
in |
cc |
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Todd
Dalberg |
in |
in |
in |
in |
in |
in |
in |
cc |
cc |
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Margaret
Bordeau |
NA |
in |
in |
in |
in |
in |
NA |
in |
in |
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Anesthesiology |
License to Practice |
Curriculum
Vitae
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Clinical
Specialty |
Health
Form
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Signed
Release |
Passport Info |
Credit
Card
Auth |
2007 Dues |
Airfare |
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Maryanne Rogiers |
in |
in |
in |
in |
in |
in |
in |
cc |
cc |
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Michael Cerullo
Co-Team
Leader
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in |
in |
in |
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in |
in |
in |
cc |
cc |
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Yasuko Tanaka |
in |
in |
in |
in |
in |
in |
in |
cc |
cc |
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Orlando
Diaz |
in |
in |
in |
in |
in |
in |
in |
cc |
cc |
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Nursing/OR Techs/Other |
License to Practice |
Curriculum
Vitae
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Clinical
Specialty |
Health
Form
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Signed
Release |
Passport Info |
Credit
Card
Auth |
2007 Dues |
Airfare |
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Barbara Thompson |
in |
in |
in |
in |
in |
in |
in |
cc |
cc |
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Juan Egana |
in |
in |
in |
in |
in |
in |
NA |
in |
in |
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Anne
Gowac |
in |
in |
in |
in |
in |
in |
in |
in |
in |
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Julia
Anderson-Baker |
in |
in |
in |
in |
in |
in |
in |
cc |
cc |
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Alison
Hamill |
in |
in |
in |
in |
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cc |
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Mary
Costa |
in |
in |
in |
in |
in |
in |
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cc |
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Pam
Covalli |
in |
in |
need |
in |
in |
in |
in |
cc |
cc |
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Beth
Delaney |
in |
in |
in |
in |
in |
in |
NA |
in |
in |
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Kim
Ranell
Newgass |
NA |
in |
NA |
in |
in |
in |
NA |
in |
in |
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Amy
Rabuffo |
in |
in |
in |
in |
in |
in |
in |
cc |
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Donna
Valva |
in |
in |
in |
in |
in |
in |
in |
cc |
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Jeremiah
Macko |
NA |
in |
need |
in |
in |
in |
NA |
in |
in |
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Administration |
License to Practice |
Curriculum
Vitae
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Clinical
Specialty |
Health
Form
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Signed
Release |
Passport Info |
Credit
Card
Auth |
2007 Dues |
Airfare |
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Paul Martel |
NA |
NA |
NA |
in |
in |
in |
in |
in |
cc |
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Flight Information:
Note: Bus will
depart Middlesex
Hospital at 5:30 AM
for Bradley Airport
Depart from Bradley
International on
Saturday, February
10th
US Airways Flight
1123 8:25 AM
Arrive Charlotte
10:22 AM
US Airways Flight
1806 11:15 AM Arrive
Guatemala City at
2:08 PM
Return to Logan
Airport, Boston on
Saturday, February
17th
US Airways Flight
1807 3:05 PM Arrive
Charlotte 7:48 PM
US Airways Flight
1760 9:55 PM Arrive
Logan 11:30
Bus will return
everyone to
Middlesex Hospital
Fare $643.00
Round Trip (Base
Fare $419.)
Note: Guatemalan
Currency is the
Quetzal $1.00 =7.75
Quetzales
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 |
