Individual
DR. IVELISSE AUBIN VIRUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
153 MAIN ST, MANCHESTER, CT 06042-3112
(860) 432-5803
Mailing address
153 MAIN ST, MANCHESTER, CT 06042-3112
(860) 432-5803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
034410
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001344100
—
CT
01
—
010034410CT01
BC/BS
CT
01
—
034410
MEDICAL LICENSE
CT
Enumeration date
12/23/2005
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us