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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 Boutros Samir 002016 MD 04/02/2012 04/17/2012 1953 Gorski Karen 001982 PA 05/26/1999 1957 Meaker Nelson E. 001746 PA 07/05/2016 06/27/2016 1953 Walts Nelson 001723 PA 01/09/1993 07/02/2007 1947 Walts Nelson 001723 PA 02/24/2005 07/02/2007 1947 Walts Nelson 001723 PA 07/09/2007 07/02/2007 1947 Matalon Vivienne Irene 001709 PA 01/25/2019 01/22/2019 1956 Macomber Robert 001681 PA 11/30/2009 11/23/2009 1952 Blodgett Judy Faith 001618 PA 04/09/2020 04/07/2020 1957 Gleim Scott 001610 PA 03/17/1997 Hamilton Timothy John 001589 PA 11/13/1995 Weinberg Allan I 001577 PA 03/13/2001 02/18/2009 1952 Weinberg Allan I 001577 PA 10/16/1997 02/18/2009 Weinberg Allan I 001577 PA 02/24/2009 02/17/2009 1952 Lau Karen 001554 PA 09/29/1997 Sochocki Peter John 001522 PA 08/15/2007 08/08/2007 1952 Coughlan John F 001500 PA 03/04/2003 03/05/2003 1955 Obrotka John 001453 PA 08/23/2004 08/16/2004 1951 Longbine Debra 001449 PA 03/28/2023 03/21/2023 1956 Longbine Debra 001449 PA 09/29/2017 09/22/2017 1956 [First/Prev] 436,437,438,439,440,441,442,443 [Next/Last]

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