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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Fogel Paul S 000056 PA 12/26/1997
Gleim Scott 001610 PA 03/17/1997
Gelpi Angelo 000233 PA 03/21/2000 1941
Ferns Melville 003637 PA 01/03/1995
Despen Daniel 001042 PA 03/12/1998 1941
Dimaio Paul 002645 PA 09/02/1999 1953
Divito Michael V 005032 PA 12/08/1998 1970
Famolaro John 003401 PA 07/10/1996
Faulknor Hervel 000361 PA 07/05/1994
Engelberg Steven 005623 PA 01/05/2001 1955
Daniels Frank A 004227 PA 07/09/1999 1958
Danke Peter John 004909 PA 04/25/2001 1966
Dawson John 000230 PA 03/21/1994
Claire Mitchell D 002410 PA 05/12/1998 1954
Coderre John D 000263 PA 12/27/1996
Cabrera Juan 003276 PA 11/13/1997
Bush Jerry 000239 PA 07/01/1994
Boyadjian Vahe 003762 PA 09/14/1994
Bristol Marcel 002892 PA 09/02/1994
Brink Garth F 000257 PA 02/11/2000 1931
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