ML20214V659
| ML20214V659 | |
| Person / Time | |
|---|---|
| Site: | 07002238 |
| Issue date: | 03/12/1986 |
| From: | William Williams BURBANK HOSP., FITCHBURG, MA |
| To: | NRC |
| Shared Package | |
| ML20197F325 | List: |
| References | |
| 26670, NUDOCS 8610020360 | |
| Download: ML20214V659 (2) | |
Text
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BurbankHospital
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Fitchburg, Massachusetts 01420 617 343-5000
'86 fiAR 26 P3 :49 March 12, 1986 U S. :.
t 'C. FEE MSMI.
Nuclear Materials Section Division of Engineering and Technical Programs U.S. Nuclear Regulatory Commission Washington, D.C.
20555 Ref:
License No.
SNM-1630 Expiration Date 3/31/86 Gentlemen:
Please renew our SNM License No. 1630 for Burbank Ilospital, Nichols Road, Fitchburg, Mass. 01420.
This request is for the physician (s) so that they may follow the two(2) patients who have implanted nuclear pacemakers and to return any explanted pacemakers to the manufacturer for proper disposal. There will not be any further implantation of nuclear pacemakers.
The following physician $) continue to be involved in the program:
Joseph C.11111, M.D. Nichols Road, Fitchburg, Mass. 01420 Please see attached curriculum vitae.
Thank you for your co-operation.
Please contact me if there are any questions and I shall give them my immediate attention.
Sincerely, 8610320360 860731 REG 1 LIC70 SNM-1630 PDR
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f William J 1111ams, President Bt.rbank liospital RECEIVED BY LFMB WJW:wk Data. O 2d[I'.......
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By APPOINTMENT (617) 343-7755
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MONTACNUSETT VASCULAR SURGERY,INC.
b NON-INVASIVE VASCULAR LABORATORY
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h JOSEPH C. HILL, M.D., F.A.C.S.
h-BURBANK PROFESSIONAL BUILDING NICHOLS ROAD FITCH3URG, MASSACHUSETTS 01420 h
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?'y CURRICULUM VITAE j,
'1957........... Tufts University - BS (Biology) 1961........... University of Rochester School of Medicine and Dentistru
.y 1961-2......... Mary Hitchcock Memorial Hospital, Hanover, New Hampshire p., m Y' '
Rotating Internship
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1962-6.........Dartmouth Affiliated Hospitals - Surgical Residency 1967........... Bliss Army Hospital, Fort Huachuca, Arizona - Chief of F
General Surgery p.
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- 1968........... Republic Vietnam, 85th Evacua tion Hospital - Chief of General Surgery
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1969...........Canandaigua, New York - Private Practice 1970 to date... Private Practice O,
'-1972........... Admitted Fellow American College of Surgeons 1970........... Certified American Board of Surgery V
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~ o1977........... Member of New England Society for Vascular Surgery J,
'9. Sd :,,4 Member of International Cardiovascular Society l'ly 1983........... Certified American Board of Surgery - Special a.,
Oualification in Vascular Surgery
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..' Current hospital privileges held (all of these since 1970)
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e G'y, Burbank Hospital - General and Vascular Surgery Henry Heywood Hospital - General and Vascular Surgary J'Fi h'
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