Individual
MARIANNE MORE CASILLA-LENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK STREET, YNHH DEPT OF SURGERY, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK STREET, YNHH DEPT OF SURGERY, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
72407
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2017
Last updated
05/04/2023
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