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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Bollhofer William J. 213557 DO 03/11/2024 03/04/2024 1965
Childers Henry E. 209539 MD 03/20/2024 03/13/2024 1960
O'Rourke Sean P. 196786 MD 03/21/2024 03/28/2024 1965
Wahib Samir A. 214272 DO 03/21/2024 03/28/2024 1967
Glickman Scott G. 249936 DO 03/22/2024 05/14/2024 1972
Khan Joseph H. 189061 MD 03/27/2024 03/20/2024 1959
Khan Humayon Yousuf 189061 MD 03/27/2024 03/20/2024 1959
Mausner Ellen L. 151346 MD 03/27/2024 03/20/2024 1954
Rizzo Joseph Anthony 154634 MD 03/27/2024 03/20/2024 1954
Bartley Shelebra 029288 PA 03/27/2024 03/20/2024 1974
Bubucea Mariana 256324 MD 04/01/2024 03/25/2024 1971
Mehdi Ahmad M. 215330 MD 04/01/2024 03/25/2024 1964
Gentile Robert A. 003016 PA 04/01/2024 03/25/2024 1949
Combs Sarah A. 263969 MD 04/02/2024 04/10/2024 1981
Martin Angel I. 288775 MD 04/02/2024 03/26/2024 1986
Gordon Linda R. 220666 MD 04/04/2024 04/18/2024 1971
Chang Richard S. 243451 MD 04/04/2024 04/04/2024 1973
Eshkenazi Azariah 128543 MD 04/04/2024 04/04/2024 1938
Thillainathan Ananthakumar 291751 MD 04/04/2024 04/04/2024 1978
Williams Dwight M. 152712 MD 04/05/2024 04/25/2024 1952
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