| Name: | Eastside Neurology, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 10 Nov 1998 (26 years ago) |
| Identification Number: | 000103384 |
| ZIP code: | 02914 |
| County: | Providence County |
| Principal Address: | 450 VETERANS MEMORIAL PARKWAY BUILDING 11, EAST PROVIDENCE, RI, 02914, USA |
| Purpose: | MEDICAL, NEUROLOGY |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Fictitious names: |
METACOMET MRI (trading name, 2004-08-23 - 2004-11-18) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407079643 | 2007-04-10 | 2020-08-22 | 450 VETERANS MEMORIAL PKWY, BUILDING 11, EAST PROVIDENCE, RI, 029145300, US | 450 VETERANS MEMORIAL PKWY, BUILDING 11, EAST PROVIDENCE, RI, 029145300, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 401-431-1860 |
| Fax | 4014350328 |
Authorized person
| Name | DR. NORMAN MERVYN GORDON |
| Role | PRESIDENT |
| Phone | 4014311860 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | 7343 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NORMAN M. GORDON, MD | Agent | 450 VETERANS MEMORIAL PARKWAY, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| NORMAN M GORDON MD | PRESIDENT | 450 VETERANS MEMORIAL PARKWAY, #11 EAST PROVIDENCE, RI 02914- USA |
| Number | Name | File Date |
|---|---|---|
| 202455131050 | Annual Report | 2024-05-31 |
| 202335380130 | Annual Report | 2023-05-08 |
| 202216114380 | Annual Report | 2022-04-28 |
| 202183892740 | Annual Report | 2021-01-04 |
| 201929720220 | Annual Report | 2019-12-11 |
| 201882738270 | Annual Report | 2018-12-17 |
| 201755002080 | Annual Report | 2017-12-13 |
| 201733655950 | Annual Report | 2017-02-07 |
| 201589114160 | Annual Report | 2015-12-14 |
| 201451079980 | Annual Report | 2014-12-10 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
