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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
Jordan
Matthew
J.
015551
PA
04/15/2024
04/09/2024
1981
Horton
Daniel
A.
024076
PA
04/15/2024
04/08/2024
1982
Isaac
George
B.
204255
MD
04/19/2024
04/12/2024
1960
Venerus
Bryan
J.
229527
MD
04/23/2024
04/16/2024
1961
Santiago
Julian
A.
019319
PA
04/24/2024
04/17/2024
1993
Stoll
Andrew
M.
174508
MD
04/24/2024
04/17/2024
1958
Nelson
Alan
J.
125202
MD
04/24/2024
04/17/2024
1945
Ali
Syed
Masood
162447
MD
04/29/2024
04/22/2024
1940
Ross
Jonathan
M.
127593
MD
04/29/2024
04/22/2024
1945
Baram
Vadim
230500
MD
04/29/2024
04/22/2024
1967
Delrosario-Gonzalez
Nancy
113372
MD
05/03/2024
04/30/2024
1940
Delrosario Gonzalez
Nancy
113372
MD
05/03/2024
04/30/2024
1940
Lape
Jeffrey
000489
PA
05/08/2024
05/01/2024
1952
Jones
Ryan
T.
026201
PA
05/09/2024
05/02/2024
1985
Chisholm
David
R.
162699
MD
05/17/2024
05/14/2024
1957
Rudis
Steven
P.
215322
MD
05/21/2024
05/14/2024
1962
Sokhon
Kozhaya
C.
225564
MD
05/21/2024
05/14/2024
1968
Campasano
Vincent
J.
228987
MD
05/21/2024
05/14/2024
1974
Howard
Keith
000992
PA
05/23/2024
05/24/2024
1949
White
Xavier
198793
MD
05/23/2024
05/16/2024
1948
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