New York
With regard to practice in New York, the below listed physicians do not participate as to any lines of business or products in any health benefits plans.

1. Dr. Michael E. Jones
2. Dr. Brad Gandolfi
3. Dr. Gerald Ginsberg
4. Dr. Charlie Chen

New Jersey
With regard to practice in New Jersey, the below listed physicians do not participate as to any lines of business or products in any health benefits plans.

1. Dr. Michael E. Jones
2. Dr. Brad Gandolfi
3. Dr. Gerald Ginsberg
4. Dr. Charlie Chen

With regard to practice in New Jersey, the above listed physicians are affiliated with the following health care facilities:

1. Surgery Center of Cliffside, LLC – 663 Palisade Avenue, Suite 303, Cliffside Park, NJ 07010
2. Saint Michael’s Medical Center – 111 Central Ave, Newark, NJ 07102
3. Holy Name Medical Center – 718 Teaneck Rd, Teaneck, NJ 07666

Texas
With regard to practice in Texas, the below listed physicians do not participate as to any lines of business or products in any health benefits plans.

1. Dr. Michael E. Jones
2. Dr. Stanley Ogu