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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Mendes Celia M. 216864 MD 10/24/2023 10/17/2023 1962
Dobrescu Cosmin 260030 MD 10/26/2023 11/02/2023 1976
Raheja Deepak 190545 MD 10/27/2023 10/26/2023 1955
Staicu Irina 300704 DO 10/30/2023 10/26/2023 1986
Kehoe Siobhan M. 235703 MD 11/06/2023 10/31/2023 1973
Chao Julie Y. 299266 MD 11/06/2023 10/30/2023 1964
Bruno John James 238559 MD 11/06/2023 10/30/2023 1975
Blick Gary 162842 MD 11/06/2023 10/30/2023 1955
Panchal Mahendra J. 240302 MD 11/07/2023 11/02/2023 1956
Sutton Mary E. Kelly 150168 MD 11/10/2023 11/03/2023 1947
Epstein Robert 228876 MD 11/14/2023 11/07/2023 1974
Stavis Monte I. 139066 MD 11/14/2023 11/07/2023 1949
Patel Mitesh R. 238405 MD 11/14/2023 11/07/2023 1977
Hillel Zaharia 150888 MD 11/14/2023 11/07/2023 1949
Verma Sagar 259213 MD 11/14/2023 11/07/2023 1971
Fritz Paul G. 167958 MD 11/14/2023 11/07/2023 1951
Brutus Andre 189086 MD 11/15/2023 11/16/2023 1955
Docyk Stanley W. 153367 MD 11/20/2023 11/13/2023 1954
Hartman David Mark 219501 MD 11/24/2023 11/17/2023 1960
Wang Clifford T. 288355 MD 11/24/2023 11/17/2023 1978
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