Individual
MATTHEW C MARCENELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 MOHEGAN AVE, NEW LONDON, CT 06320-8103
(860) 444-8402
Mailing address
30 CHARLTON LN, GROTON, CT 06340-7706
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7090
CT
Other
Enumeration date
12/18/2024
Last updated
05/06/2025
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