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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Weiss Richard A. 180728 MD 06/17/2024 06/10/2024 1957
Patel Yogesh 303664 MD 06/17/2024 06/10/2024 1967
Glickman Scott G. 249936 DO 06/17/2024 06/10/2024 1972
Saify Emil 302695 MD 06/17/2024 06/10/2024 1958
Basch David 184714 MD 06/17/2024 06/10/2024 1963
Herway Catherine Michelle 247915 MD 06/17/2024 06/10/2024 1974
Kwiatek John W. 160399 MD 06/12/2024 06/05/2024 1952
DeJesus Alex 176331 MD 06/12/2024 06/05/2024 1959
Brady Brendan C. 134486 MD 06/12/2024 06/05/2024 1949
Laufer German 201502 MD 06/10/2024 06/03/2024 1946
Levy Walter Joseph 202288 MD 06/07/2024 06/10/2024 1947
Robertson Marilyn A. 182625 MD 06/05/2024 05/29/2024 1959
Vaccaro Colleen M. 009428 PA 06/04/2024 05/28/2024 1981
Sakhichand Anjanie 009494 PA 06/04/2024 05/28/2024 1973
Asandra Christopher Formmit 274563 MD 05/31/2024 05/24/2024 1979
Feia Andreas 306462 DO 05/31/2024 05/24/2024 1983
Siefert W.L. Gregory 229676 MD 05/29/2024 05/22/2024 1953
Khan Aimal 268030 MD 05/29/2024 05/22/2024 1975
Piracha Nisar Ahmed 173856 MD 05/27/2024 05/30/2024 1953
Caplin Daniel S. 193907 DO 05/24/2024 05/24/2024 1964
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