Dr. Colleen J Jambor
Plastic and Reconstructive Surgery
33 Dale Road Ste 1
Avon
, Connecticut 06001
Dr. Colleen J Jambor
Plastic and Reconstructive Surgery
33 Dale Road Ste 1
Avon
, Connecticut 06001
(508) 829-5367
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Colleen J Jambor
- 33 Dale Road Ste 1
- Avon, CT
- Zip : 06001
- Fax : (508) 829-5367
- Phone : (860) 678-1800
Second Address
- Dr. Colleen J Jambor
- 33 Dale Road Ste 1
- Avon, CT
- Zip : 06001
- Fax : (508) 829-5367
- Phone : (860) 678-1800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 043666 | CT |
National Provider Identifier
| NPI | 1093795387 |
|---|---|
| Provider Name | Dr. Colleen J Jambor |
| First Address | Avon, CT 06001 |
| Second Address | Avon, CT 06001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/01/2006 |
| Last Update Date | 19/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001436668 | (05) | CT |
| I50314 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.