Individual provider · Type 1 NPI

Matthew C. Marcenelle

Medical Physician Assistant · New London, CT

NPI number 1831906288 Active

Practice location

31 Mohegan Ave
New London, CT 06320-8103

Call (860) 444-8402 Map

Mailing address

30 Charlton Ln
Groton, CT 06340-7706

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X7090 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1831906288

Matthew C. Marcenelle's National Provider Identifier is 1831906288, issued on Dec 18, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New London, CT. The record was last updated on May 6, 2025.