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Portsmouth Pediatrics, Inc.

Company Details

Name: Portsmouth Pediatrics, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 29 Oct 1986 (38 years ago)
Date of Dissolution: 30 Oct 2013 (11 years ago)
Date of Status Change: 30 Oct 2013 (11 years ago)
Identification Number: 000040528
ZIP code: 02871
County: Newport County
Principal Address: 1985 EAST MAIN ROAD P.O. BOX 315, PORTSMOUTH, RI, 02871, USA
Purpose: MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265523310 2006-09-27 2020-08-22 1985 E MAIN RD, PORTSMOUTH, RI, 028711225, US 1985 E MAIN RD, PORTSMOUTH, RI, 028711225, US

Contacts

Phone +1 401-683-3400

Authorized person

Name JUDITH G RAPOZA
Role PRACTICE MANAGER
Phone 5083246800

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

Agent

Name Role Address
ROBERT J. KOTERBAY, M.D. Agent 1985 EAST MAIN ROAD P.O. BOX 315, PORTSMOUTH, RI, 02871, USA

PRESIDENT

Name Role Address
ROBERT J KOTERBAY MD PRESIDENT 1985 EAST MAIN ROAD PORTSMOUTH, RI 02871 USA

Filings

Number Name File Date
201330107410 Articles of Dissolution 2013-10-30
201311763620 Annual Report 2013-02-15
201289387350 Annual Report 2012-02-10
201174227790 Annual Report 2011-01-31
201057876550 Annual Report 2010-02-01
200942060410 Annual Report 2009-02-05
200807371910 Annual Report 2008-01-31

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State