Individual
GABRIEL MARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 PHILIP BLVD STE 140, LAWRENCEVILLE, GA 30046-8768
(770) 962-3642
(770) 962-3643
Mailing address
455 PHILIP BLVD, STE 140, LAWRENCEVILLE, GA 30046-8768
(787) 402-0068
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
T-10824
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
70183
GA
Other
Enumeration date
09/19/2007
Last updated
08/07/2019
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