Physician Compare National (NPI:1063067023)

HEALTHCARE PROVIDER: JANAK TULL DMD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1063067023
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002237682
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200608001096
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TULL
	Individual professional last name
Provider First Name	JANAK
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, GLENDALE
	Individual professional's medical school
Graduation Year	2019
	Individual professional's medical school graduation year
Primary Specialty	DENTIST
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	214 N HARRISON ST
	Group Practice or individual's line 1 address
City	PRINCETON
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	085403507
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6099245171
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y