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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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