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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Gorman Roger S. 168488 MD 12/11/2023 12/08/2023 1953
Herskowitz Ahvie 138098 MD 12/12/2023 12/08/2023 1952
Purvis Warren Leslie 140976 MD 12/07/2023 12/08/2023 1951
Boucree Thaddeus S. 301972 MD 12/12/2023 12/05/2023 1973
Giuffrida Michael A. 262525 MD 12/12/2023 12/05/2023 1963
Brogan Kelly Fink 236996 MD 12/12/2023 12/05/2023 1978
Mahon Kanchan M. 211483 MD 12/12/2023 12/05/2023 1965
Merced Pablo A. 163055 MD 11/27/2023 12/04/2023 1941
Devkota Jagadishwar 125506 MD 11/28/2023 12/04/2023 1945
Merced Pablo A. 163055 MD 11/27/2023 12/04/2023 1941
Israel David K. 229166 MD 12/04/2023 11/30/2023 1966
Lamport Inna 183613 MD 12/06/2023 11/29/2023 1958
Catania Raymond 183351 DO 12/05/2023 11/28/2023 1961
Zolcik Wojciech 302204 MD 12/05/2023 11/28/2023 1967
Brooks Andre 153659 MD 11/29/2023 11/22/2023 1953
Hartman David Mark 219501 MD 11/24/2023 11/17/2023 1960
Wang Clifford T. 288355 MD 11/24/2023 11/17/2023 1978
Brutus Andre 189086 MD 11/15/2023 11/16/2023 1955
Docyk Stanley W. 153367 MD 11/20/2023 11/13/2023 1954
Epstein Robert 228876 MD 11/14/2023 11/07/2023 1974
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