Individual
DR. COLLEEN J JAMBOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33 DALE ROAD, STE 1, AVON, CT 06001
(860) 678-1800
(508) 829-5367
Mailing address
33 DALE ROAD, STE 1, AVON, CT 06001
(860) 678-1800
(508) 829-5367
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
043666
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001436668
—
CT
Enumeration date
01/20/2006
Last updated
07/19/2019
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