| Name: | COPPOLA MEDICAL ASSOCIATES, LTD. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 05 Jun 1991 (34 years ago) |
| Date of Dissolution: | 11 Dec 2020 (4 years ago) |
| Date of Status Change: | 11 Dec 2020 (4 years ago) |
| Identification Number: | 000064514 |
| ZIP code: | 02860 |
| County: | Providence County |
| Principal Address: | 174 ARMISTICE BOULEVARD SUITE C, PAWTUCKET, RI, 02860, USA |
| Purpose: | MEDICAL PRACTICE |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Historical names: |
NORTHEAST MEDICAL ASSOCIATES, LTD. Coppola & D |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386815892 | 2008-03-13 | 2011-03-30 | 174 ARMISTICE BLVD STE C, PAWTUCKET, RI, 028603269, US | 174 ARMISTICE BLVD STE C, PAWTUCKET, RI, 028603269, US | |||||||||||||||||||
|
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| Phone | +1 401-725-3520 |
| Fax | 4017253548 |
Authorized person
| Name | DR. JOYCE COPPOLA |
| Role | PHYSICIAN |
| Phone | 4017253520 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | MD7964 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILLIAM G. SAVASTANO, ESQ. | Agent | 117 EDDIE DOWLING HIGHWAY, NORTH SMITHFIELD, RI, 02896, USA |
| Name | Role | Address |
|---|---|---|
| DR. JOYCE COPPOLA | PRESIDENT | 124 PARKSIDE DRIVE PAWTUCKET, RI 02860 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2002-04-16 | Coppola & D | COPPOLA MEDICAL ASSOCIATES, LTD. |
| Name Change | 1995-05-23 | NORTHEAST MEDICAL ASSOCIATES, LTD. | Coppola & D |
| Number | Name | File Date |
|---|---|---|
| 202079502890 | Articles of Dissolution | 2020-12-11 |
| 202036533790 | Annual Report | 2020-03-18 |
| 201988654140 | Annual Report | 2019-03-14 |
| 201855745760 | Annual Report | 2018-01-08 |
| 201744065250 | Annual Report | 2017-06-02 |
| 201689935890 | Annual Report | 2016-01-03 |
| 201572406490 | Annual Report | 2015-08-06 |
| 201564631190 | Revocation Notice For Failure to File An Annual Report | 2015-07-09 |
| 201432988520 | Annual Report | 2014-01-14 |
| 201314538540 | Annual Report | 2013-03-28 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
