Individual provider · Type 1 NPI
Marissa Brennan, PA-C
Medical Physician Assistant · New London, CT
NPI number
1902324205
Active
Practice location
365 Montauk Ave
New London, CT 06320-4700
Fax (860) 444-5114
Other practice locations
- 25 Wells St, Westerly, RI 02891-2922 · (401) 596-6000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 3987 (CT) |
| Medical Physician Assistant | 363AM0700X | PA01528 (RI) |
| Physician Assistant | 363A00000X | None listed |
Medical Physician Assistant: Definition to come...
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- Martin Filardi, PA-CMedical Physician Assistant New London, CT NPI 1376687608
- Amelia Vazquez-Valicek, PA-CMedical Physician Assistant New London, CT NPI 1417055914
- Robert Louis Ventulett, PAMedical Physician Assistant New London, CT NPI 1518248954
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About NPI 1902324205
Marissa Brennan, PA-C's National Provider Identifier is 1902324205, issued on Sep 7, 2017. 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 Sep 4, 2025.