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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
Farooqi
Waqar
Ali
001041
MD
04/29/2003
04/23/2003
1964
Despen
Daniel
001042
PA
03/12/1998
1941
Dicapua
Dominick
001181
PA
10/14/2013
10/07/2013
1952
Boutros
Samir
001261
MD
04/02/2012
04/17/2012
1953
Anthony
Jerry
B
001270
PA
10/04/1996
Razi
Ali
001280
DO
01/04/2006
12/28/2005
1960
Anam
Sadrul
001309
MD
05/11/2004
05/05/2004
1946
Pulver
Kurt
001351
PA
11/01/2000
1927
Allard
Raymond
001373
PA
04/15/2021
04/08/2021
1950
Paiano
Frank
001387
PA
04/24/1996
Alonso
Jose
001393
PA
03/15/1995
03/05/2014
1953
Dunphy
Daniel
J.
001437
PA
06/14/2021
06/07/2021
1948
Dunphy
Daniel
J.
001437
PA
03/11/1996
03/11/1996
1948
Longbine
Debra
001449
PA
03/28/2023
03/21/2023
1956
Longbine
Debra
001449
PA
09/29/2017
09/22/2017
1956
Obrotka
John
001453
PA
08/23/2004
08/16/2004
1951
Coughlan
John
F
001500
PA
03/04/2003
03/05/2003
1955
Sochocki
Peter
John
001522
PA
08/15/2007
08/08/2007
1952
Lau
Karen
001554
PA
09/29/1997
Weinberg
Allan
I
001577
PA
10/16/1997
02/18/2009
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