Jambor, Colleen J
Jambor, Colleen J is an sole proprietor health care provider with primary practice located at 33 Dale Road Ste 1, Avon CT 06001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Jambor, Colleen J can be contacted via phone (860) 678-1800.Contact Information
Primary practice address
33 Dale Road Ste 1
Avon CT 06001
Phone: (860) 678-1800
Fax: (508) 829-5367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 043666 | Connecticut |
Profile Details
| NPI number | 1093795387 |
|---|---|
| LBN Legal business name | Jambor, Colleen J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Jul 19th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093795387 | NPPES |
| Connecticut | MEDICAID | 001436668 |
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