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Physician Records
Physician Last Name
Physician First Name
Physician Middle Name
License Number
License Type
Effective Date
Date Updated
Year of Birth
Brevig
Brandon
264681
DO
05/26/2021
05/19/2021
1978
Alleva
Christopher
020425
PA
05/11/2021
05/04/2021
1983
Bober
Douglas
144986
MD
05/06/2021
04/29/2021
1952
Wallington
Dale
205985
MD
05/06/2021
04/29/2021
1959
Gofman
Sofia
196388
MD
04/30/2021
04/23/2021
1957
Gupta
Anil
178352
MD
04/28/2021
04/21/2021
1957
Ashmawy
Yessin
208099
MD
04/13/2021
04/14/2021
1967
Kashani
Abbas
203671
MD
04/14/2021
04/09/2021
1962
Allard
Raymond
001373
PA
04/15/2021
04/08/2021
1950
Miller
Paul
131381
MD
04/12/2021
04/05/2021
1951
Lugo
Emma
152081
MD
03/31/2021
03/24/2021
1948
Lugo-Santiago
Emma
152081
MD
03/31/2021
03/24/2021
1948
Verma
Vishal
254346
MD
03/29/2021
03/22/2021
1974
Mallis
Seymour
084819
MD
03/12/2021
03/15/2021
1930
Laclaustra
Yvette
157548
MD
03/16/2021
03/10/2021
1955
Edstrom
Kenneth
176773
MD
03/16/2021
03/09/2021
1955
Knutson
Thomas
292173
MD
03/03/2021
02/25/2021
1971
Salmeron
Daniel
294858
MD
03/02/2021
02/25/2021
1973
Pierre-Paul
Raymond
157457
MD
03/01/2021
02/22/2021
1945
Kiev
Jonathan
244740
MD
02/25/2021
02/18/2021
1961
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