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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth Kelly Anthony 004482 PA 01/26/2024 01/23/2024 1960 Frank Madeline 029157 PA 01/16/2024 01/09/2024 1997 Hayes Tara A. 008611 PA 08/30/2023 08/23/2023 1979 Geller Alan M. 000551 PA 08/21/2023 08/14/2023 1954 Smith Frank J. 014903 PA 08/21/2023 08/14/2023 1981 Tontarski Frederick Gerald 003616 PA 07/10/2023 07/03/2023 1954 O'Donnell Terence J. 011223 PA 05/23/2023 05/16/2023 1969 Cullinan Melissa A. 014063 PA 05/16/2023 05/09/2023 1983 Dinizio Jeffrey P. 018514 PA 04/17/2023 04/10/2023 1983 Beniasians Corrine Sona 013202 PA 04/17/2023 04/10/2023 1980 Beniasians Corinne Sona 013202 PA 04/17/2023 04/10/2023 1980 Seigel Eric S. 006809 PA 04/13/2023 04/06/2023 1961 Longbine Debra 001449 PA 03/28/2023 03/21/2023 1956 Zwijacz Lara Michele 006162 PA 03/28/2008 03/20/2023 1967 Yakubov Gabriel 014691 PA 03/14/2023 03/09/2023 1986 Tomchinsky Karina 014644 PA 02/16/2023 02/09/2023 1983 Davis Jeanne M. 020356 PA 02/07/2023 01/31/2023 1988 Damodar Stephanie Terese 010938 PA 10/18/2022 10/11/2022 1982 Monson Ronald S. 003350 PA 09/16/2022 09/13/2022 1962 Killian Raelynn 012122 PA 09/13/2022 09/06/2022 1968 [First/Prev] 1,2,3,4,5,6,7,8 [Next/Last]

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