Organization
BE WELL MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIVA RASTEGAR (PHYSICIAN)
(413) 454-4581
Entity
Organization
Contact information
Practice address
245 RUSSELL ST STE 20, HADLEY, MA 01035-9563
(413) 239-7111
Mailing address
38 WILLARD GRANT RD, SUDBURY, MA 01776-1035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
12/02/2021
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