Organization
VIRUET IVELISSE MD INTERNAL MEDICINE LLC
Active
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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