Organization
INFUSION BAR & WELLNESS CENTER OF TAUNTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR YATSKAR (PRESIDENT)
(857) 222-0522
Entity
Organization
Contact information
Practice address
100 INDUSTRIAL PARK ROAD, TAUNTON, MA 02780
(508) 916-2282
Mailing address
100 INDUSTRIAL PARK ROAD, TAUNTON, MA 02780
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
—
—
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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