Individual
DR. ANDREW THEODORE GABRIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(925) 876-8853
Mailing address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(925) 876-8853
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/08/2017
Last updated
05/23/2019
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