Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew C Marcenelle

Individual provider Medical Physician Assistant · NPI 1831906288

Matthew C Marcenelle is a Medical Physician Assistant in New London, Connecticut. Licensed in Connecticut. Registered with an NPI since 2024.

Licensed in
CT
In the registry since
2024

Practice location Address checks out

31 Mohegan Ave
New London, CT 06320-8103
Phone: (860) 444-8402
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 7090 (CT)

Record details

NPI number1831906288
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 18, 2024
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

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