# BE WELL MEDICAL, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1629689153
- **Authorized official:** DR. SHIVA RASTEGAR (PHYSICIAN)
- **Authorized official phone:** (413) 454-4581

## Contact information

- **Practice address:** 245 RUSSELL ST STE 20, HADLEY, MA 01035-9563
- **Practice address phone:** (413) 239-7111
- **Mailing address:** 38 WILLARD GRANT RD, SUDBURY, MA 01776-1035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2020
- **Last updated:** 12/02/2021