GORDON B STULL (NPI# 1235385741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235385741 |
| Entity Type | Individual |
| Full Name | GORDON B STULL |
| Credential | VMD |
| Practice Address |
1565 Route 206 Tabernacle NJ 08088-8863 |
| Practice Telephone | 6092689470 |
| Practice Fax Number | 6092687026 |
| Mailing Telephone | 6092689470 |
| Mailing Fax Number | 6092687026 |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | 29V100183300 | NJ | Other Service Providers |
| Street Address |
1565 ROUTE 206 |
| City | TABERNACLE |
| State | NJ |
| Zip Code | 08088-8863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023264181 | Laura J Snyder | Veterinarian | 1565 Route 206, Tabernacle, NJ 08088-8863 | 2008-08-08 |
| 1427205384 | Aimee Kompel | Veterinarian | 1565 Route 206, Tabernacle, NJ 08088-8863 | 2008-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558768275 | Jenea Dawkins | Counselor | 511 Meadowyck Lane, Southampton, NJ 08088 | 2014-11-24 |
| 1710303078 | Casey Ray Gillick | Physical Therapist | 1805 Route 206, Suite 3 Novacare Rehabilitation, Southampton, NJ 08088 | 2014-03-11 |
| 1891119632 | Hampton Lakes Emergency Squad, Inc | Ambulance | 4 Holly Blvd, Southampton, NJ 08088 | 2014-02-14 |
| 1851715064 | Devon Berry | Counselor | 1390 Old Indian Mills Road, Shamong Road Group Home, Shamong, NJ 08088 | 2014-02-07 |
| 1417280876 | Caringheartsmobiletesting | In Home Supportive Care | 1429 Route 206, A, Tabernacle, NJ 08088 | 2009-09-16 |
| 1114073269 | Linda J Edwards | Obstetrics & Gynecology | 5045 Route 130 South, Suite I, Delran, NJ 08088 | 2007-01-25 |
| 1699287912 | Love Your Smile Dental Center LLC | Dentist | 1529 Route 206, Unit D, Tabernacle, NJ 08088 | 2017-10-26 |
| 1326451154 | Chaza Wright | Obstetrics & Gynecology | 1805 Route 206, Units 11, 12, & 13, Southampton, NJ 08088 | 2014-06-10 |
| 1699710558 | Fayez Mikhail, LLC | Internal Medicine | 23 Mayfair Rd, Southampton, NJ 08088-1014 | 2006-06-17 |
| 1770696841 | Fayez Mikhail | Internal Medicine | 23 Mayfair Rd, Southampton, NJ 08088-1014 | 2006-08-15 |
| Find all providers in zip 08088 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023264181 | Laura J Snyder | Veterinarian | 1565 Route 206, Tabernacle, NJ 08088-8863 | 2008-08-08 |
| 1427205384 | Aimee Kompel | Veterinarian | 1565 Route 206, Tabernacle, NJ 08088-8863 | 2008-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568822443 | Michael Hyatt | Veterinarian | 1 Riverside Dr, Camden, NJ 08103-1037 | 2016-03-04 |
| 1013392174 | Traci M Vogler | Veterinarian | 37 Oval Rd, Millburn, NJ 07041-1409 | 2015-07-29 |
| 1346641255 | Meghan Knox | Veterinarian | 2 Brick Plz, Brick, NJ 08723-4045 | 2014-09-10 |
| 1689005985 | Linda Marie Valas Pedro | Veterinarian | 197 Hance Ave, Tinton Falls, NJ 07724-2764 | 2013-12-11 |
| 1992134522 | Bruce Eric Frey | Veterinarian | 334 3rd Ave, Alpha, NJ 08865-4310 | 2013-11-04 |
| 1861828790 | Krishnaswamy Manoharan | Veterinarian | 3714 Kennedy Blvd, Union City, NJ 07087-2585 | 2013-09-24 |
| 1982030318 | Morsy Alsamadisi | Veterinarian | 1011 Route 202 N, Branchburg, NJ 08876-3747 | 2013-09-17 |
| 1114352820 | Joseph L Pollara | Veterinarian | 262 Churchill Dr, Egg Harbor Township, NJ 08234-8002 | 2013-09-12 |
| 1396177705 | Rachel Faye Manson | Veterinarian | 392 Kings Hwy, Woolwich Township, NJ 08085-5044 | 2013-08-08 |
| 1316388465 | Pauline Bell | Veterinarian | 315 W Route 70, Marlton, NJ 08053-1635 | 2013-07-17 |
| Find all providers with the same taxonomy | ||||
| City | TABERNACLE |
| Zip Code | 08088 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.