Gordon B Stull , VMD
Veterinarian • Tabernacle, NJ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gordon Stull has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Gordon Stull, VMD was a registered Veterinarian practicing in Tabernacle, NJ. Throughout an active medical career spanning 11 years, Gordon Stull provided care at the practice location at 1565 ROUTE 206 until profile deactivation on 2019-12-09.
Practice Location & Contact Primary Location
1565 Route 206
Tabernacle, NJ 080888863
Specialty Benchmarks & Practice Insights
Comparative analytics for Veterinarian in Tabernacle, NJ
Practicing in Tabernacle, NJ (158 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174M00000X
A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.
Practice Associates & Co-Workers
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Veterinarian
Veterinarian
Career & Practice History Timeline
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Record deactivated on December 09, 2019
NPI status registered as active in NPPES database
Registered at 1565 ROUTE 206, TABERNACLE, NJ 080888863 (Tel: 6092689470)
Registered at 1565 ROUTE 206, TABERNACLE, NJ 080888863 (Tel: 6092689470)
Recorded as GORDON STULL, VMD
Veterinarian (License #29V100183300 in NJ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1565 Route 206
Tabernacle, NJ 080888863
Phone: 6092689470
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