# INFUSION BAR & WELLNESS CENTER OF TAUNTON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063231181
- **Authorized official:** IGOR YATSKAR (PRESIDENT)
- **Authorized official phone:** (857) 222-0522

## Contact information

- **Practice address:** 100 INDUSTRIAL PARK ROAD, TAUNTON, MA 02780
- **Practice address phone:** (508) 916-2282
- **Mailing address:** 100 INDUSTRIAL PARK ROAD, TAUNTON, MA 02780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | — |
| 207RI0200X | Infectious Disease Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2024
- **Last updated:** 10/07/2024