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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
Boucree
Thaddeus
S.
301972
MD
12/12/2023
12/05/2023
1973
Bahna
Mamdouh
S
125704
MD
09/01/2008
07/16/2008
1947
Balter
Kevin
S
172885
MD
06/29/2015
06/22/2015
1958
Barr
Jason
S
276428
MD
06/29/2016
07/14/2016
1986
Barry
Michelle
S
210141
MD
11/16/2015
11/10/2015
1967
Bashir
Naim
S
177596
MD
02/15/2000
1956
Baxt
Paul
S
101611
MD
03/20/2007
03/13/2007
1943
Bhattacharya
Ajoy
S
230782
MD
03/20/2012
03/13/2012
1963
Bhattacharya
Ajoy
S
230782
MD
01/11/2016
01/06/2016
1963
Bishow
Harvey
S
208370
MD
11/12/2014
11/12/2014
1950
Bomson
Daniel
S
039789
MD
02/13/2004
02/06/2004
1915
Boyarsky
Justin
S
009522
PA
10/19/2012
10/12/2012
1981
Brown
Alan
S
139533
MD
05/24/2005
06/07/2005
1951
Brown
Charles
S
108774
MD
08/02/2001
1934
Brown
Ian
S
126863
MD
05/15/1997
Brown
Ronald
S
149723
MD
01/27/2011
01/20/2011
1949
Brown
Ronald
S
149723
MD
04/19/1999
1949
Bruno
Dante
S
141590
MD
03/25/2003
03/27/2003
1946
Burnett
John
S
177747
MD
09/01/2009
08/25/2009
1961
Barnard
Ralph
Roger
179035
MD
08/07/2003
07/30/2003
1954
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