Provider Demographics
NPI:1174584718
Name:TUEL, DAVID ELMORE II (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ELMORE
Last Name:TUEL
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD42016174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist