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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Fabisiak Danuta Barbara 212618 DO 08/01/2022 07/27/2022 1959
Betro Joseph Richard 178375 DO 07/21/2022 07/14/2022 1960
Kahan Brian S. 191804 DO 07/06/2022 06/29/2022 1965
Parry Steven S. 182678 DO 06/23/2022 06/16/2022 1958
Cavaliere Salvatore 238883 DO 05/12/2022 05/05/2022 1963
Chau Bruce 173220 DO 04/28/2022 04/22/2022 1958
Breslau Vladimir F. 251018 DO 04/08/2022 04/01/2022 1951
Summa Carissa A. 233878 DO 03/15/2022 03/08/2022 1974
Morley Timothy J. 263342 DO 10/27/2021 11/03/2021 1961
Castaneda Juan C. 233151 DO 11/03/2021 10/27/2021 1964
Herrick Kirk Hilliard 181605 DO 10/26/2021 10/27/2021 1934
Roberts Danielle 255075 DO 10/06/2021 09/30/2021 1981
Yates Jonathan D. 211692 DO 08/23/2021 08/20/2021 1968
Puccio Steven T. 229825 DO 07/01/2021 07/01/2021 1964
Stahl Jonathan 287113 DO 06/22/2021 06/22/2021 1977
Kamath Giridhar C. 230087 DO 06/18/2021 06/11/2021 1974
Brevig Brandon 264681 DO 05/26/2021 05/19/2021 1978
Hon John Wingsun 142973 DO 05/12/2021 05/13/2021 1947
Tulchinsky Victor Lee 235030 DO 05/20/2021 05/13/2021 1971
Di Santo Vinson M. 253755 DO 04/21/2021 04/14/2021 1956
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