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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Roussis George P. 224106 MD 06/18/2018 06/15/2018 1970
James Reese J. 221478 DO 06/18/2018 06/15/2018 1953
Rosales Avelino 125730 MD 06/11/2018 06/15/2018 1947
Roussis Nicholas P. 231555 MD 06/18/2018 06/15/2018 1968
Barth Timothy P. 134422 MD 06/11/2018 06/15/2018 1950
Goodwich Ronald B. 256226 MD 06/11/2018 06/15/2018 1975
Solby Richard Adam 200921 DO 06/15/2018 06/15/2018 1968
Ambush Paul F. 191900 MD 06/11/2018 06/15/2018 1961
Haas Amy Marie 264694 DO 06/21/2018 06/14/2018 1979
Whaley Kathleen Anne 285708 MD 06/21/2018 06/14/2018 1961
Pizarro Glenn 199989 MD 06/20/2018 06/13/2018 1962
Cohen Mitchell G. 281943 MD 06/19/2018 06/12/2018 1960
Denzel Gregory Donald 186229 DO 06/19/2018 06/12/2018 1964
Caruso John F. 279030 DO 05/18/2018 06/12/2018 1976
Shankman Gregory Bernard 134913 MD 06/19/2018 06/12/2018 1947
Schiftan Robert O. 151370 MD 06/15/2018 06/08/2018 1949
Khasak Dmitry Y. 194054 MD 06/14/2018 06/07/2018 1967
Church John 202805 MD 06/14/2018 06/07/2018 1961
Jayaraman Arun 264866 MD 06/14/2018 06/07/2018 1979
Kretovic Andrew James 018380 PA 06/07/2018 05/31/2018 1989
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