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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
Fabisiak
Danuta
Barbara
212618
DO
08/01/2022
07/27/2022
1959
Betro
Joseph
Richard
178375
DO
07/21/2022
07/14/2022
1960
Kahan
Brian
S.
191804
DO
07/06/2022
06/29/2022
1965
Parry
Steven
S.
182678
DO
06/23/2022
06/16/2022
1958
Cavaliere
Salvatore
238883
DO
05/12/2022
05/05/2022
1963
Chau
Bruce
173220
DO
04/28/2022
04/22/2022
1958
Breslau
Vladimir
F.
251018
DO
04/08/2022
04/01/2022
1951
Summa
Carissa
A.
233878
DO
03/15/2022
03/08/2022
1974
Morley
Timothy
J.
263342
DO
10/27/2021
11/03/2021
1961
Castaneda
Juan
C.
233151
DO
11/03/2021
10/27/2021
1964
Herrick
Kirk
Hilliard
181605
DO
10/26/2021
10/27/2021
1934
Roberts
Danielle
255075
DO
10/06/2021
09/30/2021
1981
Yates
Jonathan
D.
211692
DO
08/23/2021
08/20/2021
1968
Puccio
Steven
T.
229825
DO
07/01/2021
07/01/2021
1964
Stahl
Jonathan
287113
DO
06/22/2021
06/22/2021
1977
Kamath
Giridhar
C.
230087
DO
06/18/2021
06/11/2021
1974
Brevig
Brandon
264681
DO
05/26/2021
05/19/2021
1978
Hon
John
Wingsun
142973
DO
05/12/2021
05/13/2021
1947
Tulchinsky
Victor
Lee
235030
DO
05/20/2021
05/13/2021
1971
Di Santo
Vinson
M.
253755
DO
04/21/2021
04/14/2021
1956
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