Individual
ANDREW MARTIN GABRIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
66 BRANCH AVE STE 150, PROVIDENCE, RI 02904-2756
(401) 606-2590
(401) 606-2591
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01732
RI
Other
Enumeration date
09/12/2024
Last updated
06/08/2026
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