Healthcare Provider Details

I. General information

NPI: 1124263173
Provider Name (Legal Business Name): WESLEY TUEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: WESLEY DAVID TUEL MD

II. Dates (important events)

Enumeration Date: 12/04/2008
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

273 LAKEVIEW DR
MORGANTOWN WV
26508-8081
US

IV. Provider business mailing address

465 SOUTH ST STE 103
MORRISTOWN NJ
07960-6442
US

V. Phone/Fax

Practice location:
  • Phone: 908-522-2065
  • Fax: 908-522-5763
Mailing address:
  • Phone: 908-850-6842
  • Fax: 908-979-8787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number24779
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number25IA12894500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: