Provider Demographics
NPI:1205012358
Name:DAVID TUEL M.D. ORTHOPEDICS LLC
Entity Type:Organization
Organization Name:DAVID TUEL M.D. ORTHOPEDICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ELMORE
Authorized Official - Last Name:TUEL
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:301-334-4041
Mailing Address - Street 1:880 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550-5101
Mailing Address - Country:US
Mailing Address - Phone:301-334-4041
Mailing Address - Fax:301-334-4572
Practice Address - Street 1:880 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550-5101
Practice Address - Country:US
Practice Address - Phone:301-334-4041
Practice Address - Fax:301-334-4572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD42016174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF08004Medicare UPIN