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Organization

VIRUET IVELISSE MD INTERNAL MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IVELISSE AUBIN VIRUET MD (PHYSICIAN)
(860) 432-5803
Entity
Organization

Contact information

Practice address
153 MAIN ST, SUITE 8, MANCHESTER, CT 06042-3112
(860) 432-5803
(860) 432-5803
Mailing address
153 MAIN ST, SUITE 8, MANCHESTER, CT 06042-3112
(860) 432-5803
(860) 432-7293

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
034410
CT

Other

Enumeration date
04/01/2014
Last updated
04/01/2014
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