Individual
MARK MATTHEW LANDRENEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
285 NICOLL ST STE 104, NEW HAVEN, CT 06511-2625
(203) 606-2395
Mailing address
285 NICOLL ST APT 104, NEW HAVEN, CT 06511-0925
(203) 606-2395
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
55629
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008072418
—
CT
Enumeration date
03/21/2012
Last updated
03/11/2026
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