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Thomas R. Walek, M.D., Inc.

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Company Details

Name: Thomas R. Walek, M.D., Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 01 Oct 1987 (38 years ago)
Date of Dissolution: 23 Mar 2017 (8 years ago)
Date of Status Change: 23 Mar 2017 (8 years ago)
Identification Number: 000044392
ZIP code: 02886
County: Kent County
Purpose: GENERAL PRACTICE OF MEDICINE, INCLUDING THE SPECIALIZING IN PLASTIC, RECONSTRUCTIVE, HAND AND COSMETIC SURGERY
Fictitious names: Cosmetic Surgery of RI (trading name, 1998-05-22 - )
Thomas R. Walek, M.D., PC (trading name, 1998-03-20 - )
Principal Address: Google Maps Logo 200 TOLLGATE ROAD SUITE 102, WARWICK, RI, 02886, USA

Agent

Name Role Address
JOHN S. PETRONE, ESQ. Agent 1395 ATWOOD AVENUE SUITE 209B, JOHNSTON, RI, 02919, USA

PRESIDENT

Name Role Address
THOMAS R WALEK MD PRESIDENT 200 TOLLGATE ROAD STE 102 WARWICK, RI 02886- USA

National Provider Identifier

NPI Number:
1285080945

Authorized Person:

Name:
MRS. KAREN MARIE RODRIGUES
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208200000X - Plastic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
4017386425

Form 5500 Series

Employer Identification Number (EIN):
050432119
Plan Year:
2012
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
3
Sponsors Telephone Number:

Filings

Number Name File Date
201738501630 Articles of Dissolution 2017-03-23
201730865460 Annual Report 2017-01-25
201730093340 Statement of Change of Registered Office by the Registered Agent 2017-01-13
201693529830 Annual Report 2016-03-01
201556617410 Annual Report 2015-03-05

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Date of last update: 18 May 2025

Sources: Rhode Island Department of State