Viruet Ivelisse MD Internal Medicine LLC
NPI #1073931648 in Manchester, Connecticut
Provider Information
- NPI Number
- 1073931648
- Entity Type
- Organization
- Organization Name
- Viruet Ivelisse MD Internal Medicine LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Apr 1, 2014
- Last Updated
- Apr 1, 2014
Practice Location
- Address
- 153 MAIN ST
- Address 2
- SUITE 8
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06042-3112
- Phone
- (860) 432-5803
Authorized Official
- Name
- DR. IVELISSE AUBIN VIRUET, MD
- Title
- PHYSICIAN
- Phone
- (860) 432-5803
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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