NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
Name | Role | Address |
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STEPHEN D. ZUBIAGO, ESQ. | Agent | NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA |
Name | Role | Address |
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DAVID J. CICERCHIA MD | TREASURER | 588 PAWTUCKET AVENUE PAWTUCKET, RI 02860 USA |
Name | Role | Address |
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STEVEN N. GRAFF MD | SECRETARY | 588 PAWTUCKET AVENUE PAWTUCKET, RI 02860 USA |
Name | Role | Address |
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STEVEN L BLAZAR MD | PRESIDENT | 588 PAWTUCKET AVENUE PAWTUCKET, RI 02860 USA |
Name | Role | Address |
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STEVEN N. GRAFF MD | DIRECTOR | 588 PAWTUCKET AVENUE PAWTUCKET, RI 02860 USA |
JONATHAN A. GASTEL MD | DIRECTOR | 588 PAWTUCKET AVENUE PAWTUCKET, RI 02860 USA |
ERIC F. WALSH MD | DIRECTOR | 588 PAWTUCKET AVENUE PAWTUCKET, RI 02860 USA |
STEVEN L. BLAZAR MD | DIRECTOR | 588 PAWTUCKET AVENUE PAWTUCKET, RI 02860 USA |
DAVID J. CICERCHIA MD | DIRECTOR | 588 PAWTUCKET AVENUE PAWTUCKET, RI 02860 USA |
Number | Name | File Date |
---|---|---|
201924545170 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-10-18 |
201906961550 | Revocation Notice For Failure to File An Annual Report | 2019-07-24 |
201860281170 | Annual Report | 2018-03-14 |
201738088050 | Annual Report | 2017-03-13 |
201690108380 | Annual Report | 2016-01-06 |
Date of last update: 17 May 2025
Sources: Rhode Island Department of State