l08-lijst erkende dokters buitenland - belgium dokters buitenland...lijst erkende dokters buitenland...

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Taakgroep Erkenning Instellingen Lijst Erkende Dokters Buitenland List of foreign medical services accredited by the Maritime Administration of Belgium Blz: 1 / 17 Datum: 01.02.2014 Versie 22 Page 1 /17 Referentie: MA-Z-MAN-L08 www.mobilit.belgium.be BE: * Authorised to use Belgian medical examination form BE Land Plaats Bedrijfsnaam Naam Dokter Adres Contact Argentina Buenos Aires Centro Medico San Nicolas Juan Rodriguez Jálon Uruguay 1136, 1e Et, Capital Federal Argentina Buenos Aires Prevencion Medica Empresaria SA Alberto Salinas German Alvarez Jonte 2774/78, C1416EXZ Buenos Aires city Tel +4584-4444 Australia Medibank Health Solutuons Bernadette.Kenny @medibankhealth. com.au Australia Noble Park J R De Zoete 127 Chandler Road, 3174 Noble Park Australia NSW Newcastle J Kochanski 14 Watt St, Newcastle 2300 NSW Tel + 02 4929 1267 Australia NSW Ballina G L Douglas Ballina 2478 NSW Tel + 07 5580 9930 Australia NSW Tweed Heads G L Douglas Tweed Heads 2485 NSW Tel + 07 5580 9930 Australia QLD Brisbane Anzac Square Medical Centre Dr Yates Brisbane 4000 QLD Tel +07 3229 1531 Australia QLD Nambour Image Flat Medical Centre Dr J Harland 19 Image Flat Rd, Nambour 4560 QLD Tel + Australia VIC Melbourne Bridge Industrial Clinic Dr Morris Brash 141 Bridge Street, Port Melbourne VIC Australia WA Cottesloe Health Watch Cllnics Dr Robert Liddell 3/484 Stirling Hwy, Cottlesoe 6011 WA Azerbeijan Baku Azerbaijan State Caspian Sea Shipping Dr. Aghayeva Elianora 4 Zarifa Aliyeva Str., Baku Tel +994 124 932001 Fax +994 124 989263 mail: [email protected] Benin Cotonou Fayomi Eboum Brazil Opm tot 31 01 2014 Rio de Janeiro CMD Medical Center Altino Romar Av. Treze de Maio 23/12° Andar grupos 1203, 1204, 1205 Rio de Janeiro cmdmedicalcenter.com.br www.cmdmedicalcenter.com.br Bulgaria Burgas Transport diagnostics consultancy center (TDZK) 5 Ivan Vazov Blvd, 8000 Burgas Bulgaria Varna National Multi-profile Transport Hospital (MBT) Bulgaria Plovdiv National Multi-profile Transport Hospital (MBT)

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Page 1: L08-Lijst erkende dokters buitenland - Belgium dokters buitenland...Lijst Erkende Dokters Buitenland List of foreign medical services accredited by the Maritime Administration of Belgium

Taakgroep Erkenning Instellingen

Lijst Erkende Dokters Buitenland List of foreign medical services accredited by the Maritime

Administration of Belgium

Blz: 1 / 17 Datum: 01.02.2014

Versie 22 Page 1 /17 Referentie: MA-Z-MAN-L08 www.mobilit.belgium.be

BE: * Authorised to use Belgian medical examination form BE Land Plaats Bedrijfsnaam Naam Dokter Adres Contact

Argentina Buenos Aires Centro Medico San Nicolas

Juan Rodriguez Jálon Uruguay 1136, 1e Et, Capital Federal

Argentina Buenos Aires Prevencion Medica Empresaria SA

Alberto Salinas German

Alvarez Jonte 2774/78, C1416EXZ Buenos Aires city

Tel +4584-4444

Australia Medibank Health Solutuons

Bernadette.Kenny @medibankhealth. com.au

Australia Noble Park J R De Zoete 127 Chandler Road, 3174 Noble Park

Australia NSW Newcastle J Kochanski 14 Watt St, Newcastle 2300 NSW Tel + 02 4929 1267

Australia NSW Ballina G L Douglas Ballina 2478 NSW Tel + 07 5580 9930

Australia NSW Tweed Heads G L Douglas Tweed Heads 2485 NSW Tel + 07 5580 9930

Australia QLD Brisbane Anzac Square Medical Centre

Dr Yates Brisbane 4000 QLD Tel +07 3229 1531

Australia QLD Nambour Image Flat Medical Centre Dr J Harland 19 Image Flat Rd, Nambour 4560 QLD Tel +

Australia VIC Melbourne Bridge Industrial Clinic Dr Morris Brash 141 Bridge Street, Port Melbourne VIC

Australia WA Cottesloe Health Watch Cllnics Dr Robert Liddell 3/484 Stirling Hwy, Cottlesoe 6011 WA

Azerbeijan Baku Azerbaijan State Caspian Sea Shipping

Dr. Aghayeva Elianora

4 Zarifa Aliyeva Str., Baku Tel +994 124 932001 Fax +994 124 989263 mail: [email protected]

Benin Cotonou Fayomi Eboum

Brazil Opm tot 31 01 2014

Rio de Janeiro CMD Medical Center

Altino Romar Av. Treze de Maio 23/12° Andar grupos 1203, 1204, 1205 Rio de Janeiro

cmdmedicalcenter.com.br www.cmdmedicalcenter.com.br

Bulgaria Burgas Transport diagnostics consultancy center (TDZK)

5 Ivan Vazov Blvd, 8000 Burgas

Bulgaria Varna National Multi-profile Transport Hospital (MBT)

Bulgaria Plovdiv National Multi-profile Transport Hospital (MBT)

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Taakgroep Erkenning Instellingen

Lijst Erkende Dokters Buitenland List of foreign medical services accredited by the Maritime

Administration of Belgium

Blz: 2 / 17 Datum: 01.02.2014

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BE Land Plaats Bedrijfsnaam Naam Dokter Adres Contact

Bulgaria Batenberg Medical Centre Zdrave 2000

1 Knyaz Alexander

Cameroon Limbe

Peter Mokongo Esunge

BP 1053 Limbe, Region du Sud-Ouest Republic of de Cameroon

+237 99 99 30 36

Cameroon

Dr. Mogosanu

BP 1053 Limbe, Region du Sud-Ouest Republic of de Cameroon

+237 99 99 30 36

Canada Québec Clinique de Médecine Industrielle

Suzanne Trempe 3175 Chemin des Quatres-Bourgois, bur 380, G1W 2K7 Québec

fax +418 681 4564 [email protected]

Canada Calgary Foothills Health Consultants

Dr Tony Lynch Suite 510 444 – 5th Avenue SW, Calgary, Alberta T2P 2T8

Tel 001 403 262 64 79 fax 001 403 262 7076

Congo Pointe-Noire Clinique Guénin Dr. Guénin 00 242 94 17 51

Croatia Rijeka Clinic of General Medicine Darko Jakovac I Marinkovica 11/I

Croatia Rijeka Private Clinic Occupational Medicine

Antonio Simundic Riva 16 / V

Croatia Rijeka Poliklinika “PRO VITA” G Grbac-Rincic Trpimirova 2/1

M Stipanovic

S Maravic-Bravar

Croatia Rijeka Zdravstvena ustanova za medicinu rada

Zlatko Racki Uljarska 1

Croatia Rijeka Clinic of General Medicine J Bozin-Juracic Ive Marinkovica 11

D Rossi-Gasparovic

V Spadoni-Krivicic

Croatia Rijeka Clinic of General Medicine Mirjana Pancic Ive Medoviceva 35

Croatia Rijeka Clinic of General Medicine Snjezane Cabrajac-Grbac

Milutina Baraca 26

Croatia Rijeka Railway workers surgery Marija Marjanovic Park Nikole Hosta 5

Croatia Krk Medical Centre Krk Mladen Tomac Vinogradska bb

Croatia Crikvenica Medical Centre Crikvenica Vesna Gartner-Pilas Kotorska bb

Croatia Mali Losinj Medical Centre Mali Losinj Olga Delac Priko 69

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Administration of Belgium

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BE Land Plaats Bedrijfsnaam Naam Dokter Adres Contact

Croatia Sibenik Medical Centre of Sebenic (Specijalisticka Ordinacija Medicine Rada)

Mladen Jurman, Mira Vuksic, Vesna Skocic, Dubravska Cala

Karla Vipauca 8, 22000 Sibenik

Croatia Split Poliklinika za int. medicinu Zeljka Ercegovic Licka 2

Croatia Split Specijalisticka ordinacijja medicine rada

Mirjana Antunovic Matice hrvatske 68

Croatia Split Specijalisticka ordinacijja medicine rada

Milana Varinac-Barac Trg hrvatske bratske zajednice bb

Croatia Split Railway workers medical centre Split

Dragica Covic-Rogosic,

A.G. Matosa 2, Split +021 386 129

Croatia Supetar Specijalisticka oridnacija medicine rada

Milan Slender Mladena Vodanovica 24

Croatia Dubrovnik D.Z. Dubrovnik Ante Starcevica 45

Croatia Dubrovnik Medical Institution for occupational health Dubrovnik

Dubravka Bosnjak Cina Carica 3

Croatia Zadar Joint Surgery of the Professional Medicine Specialists

Mate Mustac Zadarskog Mira 22

Croatia Sinj Professional Medicine Specialist surgery Sinj

Ljubica Paladin-Susnjara

Ramska bb

France Paris Service de Santé des gens de mer (SSGM)

3 Place de Fontenoy – 75700 PARIS 07 SP

France Le Havre Service de Santé des gens de mer (SSGM)

4 rue du Colonel Fabien – B.P. 34 – 76083 LE HAVRE

France Dunkerque Service de Santé des gens de mer (SSGM)

22 rue des Fusiliers Marins - 59385 DUNKERQUE

France Boulogne Service de Santé des gens de mer (SSGM)

92 rue Gambetta – 62321 BOULOGNE SUR MER

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BE Land Plaats Bedrijfsnaam Naam Dokter Adres Contact

France Caen Service de Santé des gens de mer (SSGM)

12 avenue de Tsukuba – 14200 HEROUVILLE SAINT-CLAIR (CITIS)

France Cherbourg Service de Santé des gens de mer (SSGM)

Quai du Gal Lawton Collins – B.P. 721 – 50107 CHERBOURG

France Paimpol Service de Santé des gens de mer (SSGM)

Rue du Docteur Monjarret – BP 94 – 22502 PAIMPOL CEDEX

France Saint-Malo Service de Santé des gens de mer (SSGM)

27 qua Duguay-Trouin – 35406 SAINT-MALO CEDEX

France Brest Service de Santé des gens de mer (SSGM)

6 rue Saint-Saëns – B.P. 91324

29801 BREST CEDEX 69

France Le Guilvinec Service de Santé des gens de mer (SSGM)

37 rue de la Marine – 29730 LE GUILVINEC

France Concarneau Service de Santé des gens de mer (SSGM)

4 rue Lucien Hascoët – B.P. 86 – 29182 CONCARNEAU CEDEX

France Lorient Service de Santé des gens de mer (SSGM)

88 avenue de la Perrière – B.P 450 – 56321 LORIENT.

France Nantes Service de Santé des gens de mer (SSGM)

2 ter boulevard Ailard – 44031 NANTES CEDEX 01

France Les Sables d’Olonne Service de Santé des gens de mer (SSGM)

14 rue Colbert – B.P. 371 – 85100 LES SABLES D’OLONNE

France Bordeaux Service de Santé des gens de mer (SSGM)

3 cours de Verdun – 33074 BORDEAUX CEDES

France Arcachon Service de Santé des gens de mer (SSGM)

194 boulevard de la Plage – 33311 ARC ARCACHON

France La Rochelle Service de Santé des gens de mer (SSGM)

Quai de Marans – 17021 la rochelle cedex 1

France Ciboure (Saint-Jean-de-Luz)

Service de Santé des gens de mer (SSGM)

Quai Pascal Elissalt – B.P. 307 – 64500 CIBOURE

France Marseille Service de Santé des gens de mer (SSGM)

23 rue des Phocéens – 13236 MARSEILLE CEDEX 02

France Sète Service de Santé des gens de mer (SSGM)

14 rue Hocke – B.P. 472 – 34207 SETE CEDEX

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BE Land Plaats Bedrijfsnaam Naam Dokter Adres Contact

France Toulon Service de Santé des gens de mer (SSGM)

244 avenue de l’Infanterie de Marine – B.P. 563 – 83054 TOULON CEDEX

France Nice Service de Santé des gens de mer (SSGM)

22 quai de Lunel – 06037 NICE CEDEX

France Bastia Service de Santé des gens de mer (SSGM)

Quai Nord du vieux Port – P.B. 50 – 20289 BASTIA

France Ajaccio Service de Santé des gens de mer (SSGM)

Quai l’Herminier – 20000 AJACCIO

France Fort-de France Service de Santé des gens de mer (SSGM)

Boulevard Chevalier de Sainte-Marthe – B.P. 620 – 97261 FORT DE France CEDEX

France Point-à-Pitre Service de Santé des gens de mer (SSGM)

Quai Layrle – BP 473 – 97164 POINT A PITRE

France La Réunion Service de Santé des gens de mer (SSGM)

Dr Perez 4 RUE Evariste de Parny – 97820 LE PORT

+02 62 90 19 63

Germany Leer Praxis Dr Blumenberg U Hahn Praxis Dr Blumenberg, Ostersteg 45, 26789 Leer

+0491 26 56

Germany Stade Gesundheitsamt Dr G Pallasch Heckenweg 7, 21680 Stade +04521 788-122

Ghana Tema

Empat-Caiquo Medical Centre

Dr Bentil Emmanuel P.O Box BT22, TEMA GHANA

+233244828310

Great Britain Aberdeen Dr J L Hay 123 Victoria Road, Torry AB11 9YL +44 1224 895 116

Great Britain Dundee Princes Street Surgery Dr. D A Bruce 155 Princes Street, Dundee DD4 6DG + 44 1382 461 090

Great Britain

Glasgow Marine Medical Services Dr Ian Gordon 209 Govan Road G51 1HJ +44 141 427 6655

Great Britain

Newcastle Upon Tyne The Surgery Dr C H Darling 200 Osborne Road, Jesmond, Newcastle Upon Tyne, Tyne & Wear NE2 3LD

+44 191 2814777

Greece Pireaus Diagnosi A E Dr Panagiotis Amartolos

85 Akti Miaouli, 18538 Pireaus +30 210 455 8005

India Mumbai Bharat B More Maharashtra

India Mumbai Hitendrapuri K Goswami

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India Mumbai Ramesh P Aier

India Mumbai Dilip Kumar N Gohil

India Mumbai Mrs Radha N Chowgule

India Mumbai Mrs Seema B Gurnani

India Mumbai Sudhir Medhekar

India Mumbai Vija Shetty

India Mumbai Anil Kumar Arora

India Mumbai D Shome

India Mumbai G K Venkatesh

India Mumbai R K Lakhani

India Mumbai Girish H Mistry

India Mumbai Kirti Kumar R Desai

India Mumbai Swarnalata R Kamath

India Mumbai Sun Clinic A Harigopai Subudhi 47, Vaju Kotak Marg, GPO, near govt shipping officer, Fort, Mumbai 400 001

India Mumbai Cumballa Hill Hospital & Heart Inst

Arun V Shetty 93/95, August Kranti Marg, Mumbai 400 036

India Mumbai Marine Medical Services Ashish Chaudhari Room 210/211, Mint Chamber, 45-47 Mint Rd, Fort, Mumbai 400 001

India Mumbai B L Sundarka Twinkle Apts Off Link Road, Andheri W, Mumbai 400 053

India Mumbai Dr Idnani's Diagnostic Laboratory

Corinne Idnani 4 Kalpana, 2nd

Pasta Lane, Colaba, Mumbai 400 005

+2285 2755

India Mumbai Suresh N Idnani

India Mumbai The Shipping Corp of India Ltd

D P Modi Shipping House, Madame Cama Rd, Nariman Point, Mumbai 400 021

India Mumbai Lady Ratan Tata & Medical Research Center

D Bhasin 66, Maharshi Karve Marg, near Cooperage Tel Exchange, Mumbai 400 021

India Mumbai H S Bhatia 5 A, Meghji Bhavan, 1st fl, Barrack Rd,

Mumbai 400 020

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BE Land Plaats Bedrijfsnaam Naam Dokter Adres Contact

India Mumbai The Surgery J K Manghani 958, Adarsh Nagar, New Link Rd, Andheri E, Mumbai 400 102

India Mumbai J H Major 4 Shoorij Vallabhdas Marg, Ballard Est, Mumbai 400 038

India Mumbai J Mathew A Wing 102, Heritage Plaza, Telli Cross Lane near Andheri Stn E, Mumbai 400 069

India Mumbai J M Rele 1 Temple View, Vatcha Ghandi Rd, Mumbai 400 007

India Mumbai Jaya Diagnostic Centre K A Vazirani 1st fl, Maeckji Wadia Bld, Opp Mumbai

Univ, Fountain, Mumbai 400 023

India Mumbai Cresha Polyclinic Mervyn S Arbreo 1a Devi Ekveera, Old Nagardas Rd, Andheri E, Mumbai 400 069

+2445 5542

India Mumbai M P Rele 1 Temple View, Vatcha Ghandi Rd, Mumbai 400 007

India Mumbai Green Cross Mahendra Desai Kamleshwar, 40 Tagore Rd, Santacruz W, Mumbai 400 054

India Mumbai M K E Menon

India Mumbai Nathwani

India Mumbai Ranbir Singh

India R N Kamath

India S Chowdhury

India S S Shetty

India V Z Belani

India M V Aswani

India A A M Hajwani

India Mumbai Hozic D Kapadia

India A C Kulkarni

India A M Joglekar

India R H Kelwalaramani

India Mumbai S Potdukhe

India H G Sahijwala

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India M A Patankar

India S Shahzeb Kahn

India Dushyant J Barfiwala

India Mrs Neelam Singh

India Ashfaq Ahamed Uhbaray

India K C Bhatia

India Lalita Kedia

India Kewal P Vain

India Rajkumar V Tripathi

India Arvind Verma

India F E Palia

India Chennai Balaji Medical Centre A H Balaji PPJ Chamber N° 58-5963, Gr Fl, Rajaji Salai, Chennai 600 001

India The Shipping Corp of India Ltd

S Avudai Nayagam 17, Rajaji Salai, Chennai 01 +044 25231401

India Ali Zaffer Clinic N° 1 Moore Street, Chennai 600 001

India S A Nayagam Clinic N° 1 Moore Street, Chennai 600 001

India New Delhi A K Gupta

India K R S Kanwar

India N Ahluwalia

India S K Talwar

India H E L P Clinic Sudha Sood 201-202 Chopra Complex, Preet Vihar, 110092 New Delhi

India Kolkata S P Sintha Roy-44, Park Street, Kolkata-700 016 +2283 1935

India South End Policlinic J P Guha 203, Sarat Bose Road, Kolkata 700 029 4737703

India J C Mehrotra 9, Tara Chand Dutta Str, Kolkata-700 073

India Cochin Divakar Prabhu House N°59/4242, Dwaraka, Chittor Rd, Ernakulam, Cochin 682 008

+ 0484 2355257

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India Clinic Jairam & Sons G P Bhatt 45/364, V Ayyar Rd, Willingdon Island, PB 637, Cochin

India Cochin Sakthi Medical Centre P V Unnikrishnan Market Canal Rd, Cochin 682 035

India Vishakapatnam G V Rao

India K A N Rao

India Goa S M Lawande Khalap Mansion, Vasco-da-Gama, Goa 403002

India Mrs Tosha S Usgaonker

Clinic-373, D B Marg, Miramar-Pnaji Goa 403 001

India Talaulikar Nursing Home D V Talauliker DD Rd, Khalap Mansion, Vasco-da-Gama, Goa 403002

India Bracos Clinic Pedro B Dacosta Vaddem, Vasco-da-Gama, Goa 403002

India Mangalore M S Puthran

India Pune Neela D Kushte

India P N Karani

India Tuticorin Tuticorin Port Trust Hospital

Lalitha Ganapahy

India Turicorin Port Trust Hospital

J Sarkar

India M Sathasivam

India P Ssivanakaram

India P Nantha Kumar

India Haldia Himansu Kundu

India Paradip Rajini Kumar Pattanayak

India Jamnagar M M Patel

India Patna Institute of Marine Education & Research

Shankar Nath

Indonesia Jakarta Rajawali Lestari Maritime Clinic

Dr Nusye E Syamsiar Jl Senen Raya No 66 3433818

Indonesia Jakarta Insani Medical Centre Dr Rina Gustuti Jl. Basuki Rahmat No 18, Jakarta 13310 8186001

85905285

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Indonesia Jakarta Indosehat Medical Centre Dr James Manik Jl. Cilincing Raya No 74, Tanjung Priok 98187061

(branch off: Jl. Warakas I No 72, Tanjung Priok)

Indonesia Batam Klinik Medilab Batam Komp. Taman Niaga Sukajadi Blok J 3A s/d Kel. Baloi Permai Kec. Nongsa, Batam 29463

T +62 778 7372022 F +62 778 7372024

Jamaica Kingston Oxford Medical Centre Dr Barbara Isaacs 22h Old Hope Road, Kingston 5 T +926-5483

Dr Horace Fisher T +926-6296

Letvia Riga Diplomatic service medical centre

Dr Silvija Lejniece Elizabetes street 57, Riga LV1050 Tel +371 67229942

Fax + 371 67289413 mail: [email protected]

Letvia Riga Diplomatic service medical centre

Dr Pauls Vaivods Elizabetes street 57, Riga LV1050

Lithuania Klaipeda Klaipeda seaman’s hospital – Maritime medicine centre

Dr V Kuolas Liepojos 45, LT-5809 Klaipeda

Myanmar Sanchaung Asia Royal Cardiac & Medical Care

N°14, Baho str, Sanchaung Township, Yangon

Nederland Baarn Hilvermed Dr. Joost Paardenkooper

Amalialaan 43, 3743 KE Baarn Tel: + 31 681879725

Nederland Den Helder Adviesbureau Mediboeg Dr R E Weber Heiligharn 254, 1785 ST Den Helder

Nederland Goes Bedrijfsartsen Guido M J H Govaert Westsingel 90 C, 4461 DN Goes

Nederland Goes FJR Viaene M A De Ruijterlaan 9, 4461 GD Goes

Nederland

Rotterdam A M Joosten Alkmaardermeer 9, 3068 KL Rotterdam

+31 10 288 7604

Nederland Terneuzen J G Stevens Oostelijk Bolwerk 12 C, 4531 Terneuzen

New Zealand Kamo Bush Rd Medical Centre A Miller Bush Rd, Kamo, Whangarei +64 9 435 0692

Panama, Republic Provincia de Panama Centro Medico Atlantico, Centro Comercal

Alejandro Loo Lam Via Espana 500 Calle 2 Carrasquilla

Panama, Republic Provincia de Panama Centro Medico Nacional

Ana Linette Halphen Arango

Ave Justo Arosemena Consultorio 412

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Panama, Republic Provincia de Panama Centro Medicco Aparicio Acosta Lugo Plaza Cecilia Planta Baja Condado Del Rey Frente a explora

Panama, Republic Provincia de Panama Clinica Hopital Chemsa Ariel Jose Zeballos Botello

Ave Justo Arosemena

Panama, Republic Provincia de Panama Centro Medico Familiar Centro Comercial

Daniel Varela Gonsalez

Pricesmart, local #4 Villa de Las Fuentes #2

Panama, Republic Provincia de Panama Clinica Einstein Gariel Enrique Sucre Levy

Via Argentina El Cangrejo

Panama, Republic Provincia de Panama Hospital Santa Fe

Jorge Enrique Townshend Rendon

Panama, Republic Provincia de Panama Clinica Einstein Rimsky Sucre Benjamin

Via Argentina El Cangrejo

Panama, Republic Provincia de Panama Clinic Einstein Thania Melissa Aguilar Carranza

Via Argentina El Cangrejo

Panama, Republic Provincia Colon Clinica Universal Carlton

Aurelio Nazario Pineda Martinez

Calle 10 Ave Melendez

Panama, Republic Provincia Colon Centro de Salud Integra Marcelino Caballero Pinzon

Sabanitas

Panama, Republic Provincia Colon Clinica Sal Consultorio#1 Santo Rafael Chavez Martinez

Calle 11 Paseo Gorgas

Philippines Manila Clinicomed Manila Inc

Philippines Manila American Outpatient Clinic Inc

Philippines Metro-Manila Physician’s Diagnostic Services Center

533 United Nations Avenue, 4th. floor, Physicians’Tower, Ermita, Metro-Manila

Philippines Metro-Manila Halcyon Marine Healthcare Systems

Glennda E Canlas 10th Floor Trafalgar Plaza, 105 H V Dela

Costa, Salcedo Village, Makati City, Metro-Manila

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Philippines Metro-Manila Maritime Medical and Laboratory Clinic Inc

Joselito L De Guzman Josefina V Julian

2nd

fl, Paragon Tower Hotel 531 A Flores St, Ermita, Manila

+632.526.38.09 +632.526-38.12

Philippines Makati City Angelus Medical Clinic Inc

Philippines Makati City PTC Health Metrics Inc 11/F Pryce Bldv, 1179 Chino Roces cor. Bagtican St, San Antonio Village

Poland Gdynia Port Health Authorities

Poland Gdynia Institute of Maritime and Tropical Medicine

Wieslaw Renke Poniatowskiego 13/1, 80-156 Gdansk

Poland Szczecin Port Health Authorities

Poland Szczecin Indywidualna Specjalistyczna Praktyka Lekarska

Alina Kosinska 71-254 Szczecin, Ul. Lukasinskiego 6c

Poland Szczecin Jan Baleczewski 71-219 Szczecin Peladid, Ul Nowclesna 24

Républic congolaise

Pointe- Noire

La Clinique Guenin Gérard Guenin La Clinique Guenin P. 1252 Pointe- Noire Républic congolaise

+ 242 94 17 51

Romania Constanta IOWEMED Medical Center Teofil Ciortan B-dul I.C. Bratianu nr 2-4, 900161 Constanta

T+40 241 587676 F+40 241 559962

Russia St Petersburg Admiral Makarov State Maritime Academy

15 a Kosaya Linia, St Petersburg 199106

Russia St Petersburg Medrybprom Kronshtadtskaya str 4, 198096 St Petersburg

Russia St Petersburg SZOMC Roszdrava, North-West regional medical centre

Kadetskaya Iiniya 13-15, 199004 St Petersburg

Russia Snezhnogorsk Central medical unit N° 120

Birjukova Str 10, Snezhnogorsk 184680

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Russia Murmansk Marine Medical Sanitari unit n° 2

17 FGUP Atomflot, Murmansk

Russia Murmansk Municipal Healtcare Establishment Sevryba

Lomonosova 18, 183042 Murmansk

Russia Karelia Onegomed Medical Clinic 9 Lososinskaya Emb., Petrozavodsk, 185003 Karelia

tel+7 8142 57 23 12 - fax +7 8142 57 34 68

Senegal Dakar Département de medecine des gens de mer

Dr. Diarra Fayé Tel: +221338491699

Slovenia Piran Ambulante spiosne in pomorske medicine

Sime Kopilovic Fornace 35, Piran Tel +386 5 663 0845 / 46

South-Africa Kwazulu-Natal A Mac Du Plessis 22 Roslyn Road Suite 3, 1st Floor, AMANZIMTOTI 4126

031 903 2377

South-Africa Kwazulu-Natal Medicross Bluff R G Govender 54 Lighthouse Road BLUFF 4052 031 466 5030

South-Africa Kwazulu-Natal Medicross Bluff A E Meltzer 54 Lighthouse Road BLUFF 4052 031 466 5030

South-Africa Kwazulu-Natal Medicross Bluff L F G Minders 54 Lighthouse Road BLUFF 4052 031 466 5030

South-Africa Kwazulu-Natal Medicross Bluff A Postma 54 Lighthouse Road BLUFF 4052 031 466 5030

South-Africa Kwazulu-Natal Medicross Bluff JJ Wessels 54 Lighthouse Road BLUFF 4052 031 466 5030

South-Africa Kwazulu-Natal Medicross Bluff A Whitehorn 54 Lighthouse Road BLUFF 4052 031 466 5030

South-Africa Kwazulu-Natal Shipmed, Entabeni Hospital

D Dungan 25 Glenwood Drive,Glenwood, DURBAN 4001

031 261 8291

South-Africa Kwazulu-Natal Shipmed, Entabeni Hospital

G M Rogers 25 Glenwood Drive,Glenwood, DURBAN 4001

031 261 8291

South-Africa Kwazulu-Natal R B Karrim Shop & Mercury House 320 Smith Street DURBAN 4001

031 304 3600

South-Africa Kwazulu-Natal OccuMpilo Clinic M A R Jagot 4 Belfast Road, Off Bayhead Rd MAYDON WHARF 4001

031 206 1981

South-Africa Kwazulu-Natal OccCare Y E Osman Shifa Mansions 566 South Coast Road CLAIRWOOD 4052

031 465 5100

South-Africa Kwazulu-Natal Esplanade Medical Centre R S Pillay 24 Russel Street DURBAN 4001 031 307 2820

South-Africa Kwazulu-Natal A P Wannenberg 591 Berea Road Berea DURBAN 4001 031 201 2221/2

South-Africa Kwazulu-Natal Jacobs Health & Industrial Clinic

A S Maharaj 217 Quality Street JACOBS 4052 031 461 1002/3

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South-Africa Kwazulu-Natal Medicross Clinic W Watson Richards Park RICHARD BAY 3900 035 789 1564

South-Africa Eastern Cape J J Malan 155 St Francis Drive ST FRANCIS 6312 042 294 0179

South-Africa Eastern Cape D N Appavoo 30 Albany Street North End EAST LONDON 5201

043 722 2356/7

South-Africa Eastern Cape P J Laubscher 114 St Georges Medical Suites 40A Park Drive PORT ELIZABETH 6001

041 373 4491

South-Africa Eastern Cape Greenacres Hospital P A Schwartz Greenacres Hospital room 310 Greenacres PORT ELIZABETH 6045

041 363 1901

South-Africa Eastern Cape Greenways Medical Centre

H Dreyer Cnr Greenways & Melsetter Ave Lovemore Heights PORT ELIZABETH 6001

041 368 3706

South-Africa Eastern Cape Greenways Medical Centre

C F Dutroux Cnr Greenways & Melsetter Ave Lovemore Heights PORT ELIZABETH 6001

041 368 3706

South-Africa Eastern Cape J G H Roux Cnr Greenways & Melsetter Ave Lovemore Heights PORT ELIZABETH 6001

041 368 3706

South-Africa Eastern Cape W W Stindt Cnr Greenways & Melsetter Ave Lovemore Heights PORT ELIZABETH 6001

041 368 3706

South-Africa Western Cape E Blumenthal 2818A ABSA Centre 2 Riebeeck Str CAPE TOWN 8001

021 419 1625

South-Africa Western Cape J B Fine 407 Medical Centre 1 Kloof Road Sea Point CAPE TOWN 8001

021 419 1888

South-Africa Western Cape B Kehoe 1107 Picbel Parkade 58 Strand Str CAPE TOWN 8001

021 418 1519

South-Africa Western Cape Chris Barnard Hospital G Greef 101 The Annex 162 Longmarket Str CAPE TOWN 8001

021 424 2003

South-Africa Western Cape Chris Barnard Hospital S Levy 101 The Annex 162 Longmarket Str CAPE TOWN 8001

021 424 2003

South-Africa Western Cape Chris Barnard Hospital A S Morton 101 The Annex 162 Longmarket Str CAPE TOWN 8001

021 424 2003

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South-Africa Western Cape Chris Barnard Hospital G M Rosendorff 101 The Annex 162 Longmarket Str CAPE TOWN 8001

021 424 2003

South-Africa Western Cape Chris Barnard Hospital A G Stoner 101 The Annex 162 Longmarket Str CAPE TOWN 8001

021 424 2003

South-Africa Western Cape Chris Barnard Hospital A Daya 162 The Annex 102 Longmarket Str CAPE TOWN 8001

021 424 2003

South-Africa Western Cape Medicross Tokai J E Rosenthal Cnr Tokai & Keyser River Rds Opp Blue Route Centre TOKAI 7945

021 715 7063

South-Africa Western Cape C Rabinowitz I & J No 1 South Arm Duncan Docks CAPE TOWN 8001

021 402 9777

South-Africa Western Cape W J Smit Main Road GRABOUW 7160 021 859 2850

South-Africa Western Cape S Annandale Main Street 9 LAAIPLEK 7365 022 783 0040

South-Africa Western Cape A du Plessis 2 Da Gama Street MOSSEL BAY 6500 044 691 2120

South-Africa Western Cape J T Grobbelaar Old Camelot Building Cnr Robertson & Zietsman Str MOSSEL BAY 6500

044 691 3906

South-Africa Western Cape A Bester 10 Jakob Sadie Str VREDENBURG 7380

022 713 1281

South-Africa Western Cape E G Stofberg 10 Jakob Sadie Str VREDENBURG 7380

022 713 1281

South-Africa Western Cape J S Bruwer 67 Saldana Road SALDANHA 7395 022 714 2380

South-Africa Western Cape C L Neethling 67 Saldana Road SALDANHA 7395 022 714 2380

South-Africa Western Cape P T Greeff 54 Saldana Road SALDANHA 7395 022 714 1257

South-Africa Western Cape E C Appies 14 Columba Str VREDENBURG 7380 022 715 1112/3

South-Africa Western Cape M Brauer Medi-Travel Intl, 1st Fl, Clocktower Shopping Centre, V&A Waterfront CAPE TWON 8001

021 419 18888

South-Africa Western Cape Dr De Kock 101 The Annexe CBMH, 126 Longmarket Street CAPE TOWN 8001

0272 1424 2003

South-Africa Northern Cape N JM Visser 16 Luckhoff Str SPRINGBOK 8240

027 718 2685

Togo Lomé Clinique Barruet Dr. Barruet 00 228 22 12 97

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Trinidad & Tobago Port of Spain S Millar 66 Pembroke Str, Port of Spain, Trinidad & Tobago, West Indies

Ukraine Kherson Ukranian Research Institute of Transport Medicine

Filia Kherson, 21 Ushakovstr. 73014 Kherson

tel + 380 552 26 40 83

Ukraine Odessa

Academmarine Medical Centre, ONMA

10 Malovskogo Str 65110 Odessa

Tel +38 048 728 0692 Fax +38 048 732 4488

Ukraine Odessa Almed, Ltd Medical psychological center Ukrainian

Primorskaya Str 15/17 65026 Odessa

Tel: +38 048 7294718 Tel: +38 048 7294719 Fax: +38 048 7294720

Ukraine Odessa Medical Center “Health” 40 Chernomorskogo Kazachestva St, Odessa, Ukraine

Ukraine Odessa Medmarine, Medical Centre

Dr Bogdan Yurechko 8 Krasnoya str, 65059 Odessa

Fax +38 0482 343484

Ukraine Odessa Medical Center of Shipping Safety

Dr Georgiy S Shershikov

Office 608, 33, Zhukovskogo str; 65045 Odessa

Tel/fax +38 (048) 7223309

Ukraine Sevastopol Medcompany 3, Pionerskaya St, Sevastopol, 99008, Ukraine

tel + 38 0692 5540 24

Ukraine Mariupol AZOV Central Seafarer’s Clinic (Mariupol City Hospital No 9)

35, Nakhimova Ave, Mariupol, Donetsk Reg

Tel +38 0629 376884

Ukraine Kerch Kerch Port Hospital on Water Transport

Dr Aleksandr V Dudka 47-a, 1st Mitridatskaya Str, Kerch,

Crimea Tel +38 06561 23 147

Fax +38 06561 23 247

United Arab Emirates

Dubai Belgium Medical Services – FZ llc

Dr Danny Deschuttere Dubai Healthcare City, PO box 66566, block B 506

United Arab Emirates

Dubai Belgium Medical Services – FZ llc

Dr Barbara Ghesquire Dubai Healthcare City, PO box 66566, block B 506

United Arab Emirates

Dubai Belgium Medical Services – FZ llc

Dr Mara Vandeputte Dubai Healthcare City, PO box 66566, block B 506

* United Arab Emirates

Dubai Upandrunning Dr Sarah Peeters 696 Al Wasl Road, Umm Suqeim 2, Dubai

+971 4 3284600

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USA Baltimore MEBA - Baltimore Diagnostic Center

Dr. Bruce Z. Kohrn M.D.

1005 Eastern Ave., Baltimore, MD 21202

410-547-9111

USA Baltimore MEBA - Baltimore Diagnostic Center

Dr. Julie A Wagner M.D.

USA New Orleans MEBA - New Orleans Diagnostic Center

Dr. Pravinkant R. Talati M.D.

615 Baronne Street #200 504-522-5151

New Orleans, LA 70113

USA Oakland MEBA - Oakland Diagnostic Center

Dr. Raymond Weisberg M.D

548 Thomas L. Berkley Way 510-663-6810

Oakland, CA 94612

USA MEBA - Oakland Diagnostic Center

Dr. Alan Rosenstein M.D.

USA MEBA - Oakland Diagnostic Center

Dr. Marilyn McCartney M.D.

USA Alle artsen mits formulier CG-719k en procedure van USCG

All physicians using form CG-719k – and procedure of USCG