Individual
MARK MAKKAR GABRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2388
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
05/13/2025
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