| Name: | Petteruti Family Practice, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 31 May 2001 (24 years ago) |
| Date of Dissolution: | 31 Dec 2024 (4 months ago) |
| Date of Status Change: | 31 Dec 2024 (4 months ago) |
| Identification Number: | 000118704 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 250 CENTERVILLE ROAD BUILDING E, WARWICK, RI, 02886, USA |
| Purpose: | TO ENGAGE IN THE PRACTICE OF MEDICINE |
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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417132549 | 2008-01-08 | 2011-12-22 | 250 CENTERVILLE RD, BUILDING E, WARWICK, RI, 028864382, US | 250 CENTERVILLE RD, BUILDING E, WARWICK, RI, 028864382, US | |||||||||||||||||||
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| Phone | +1 401-921-5934 |
| Fax | 4019215936 |
Authorized person
| Name | STEPHEN JOSEPH PETTERUTI |
| Role | PRESIDENT |
| Phone | 4019215934 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | D413 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALFRED T. MARCIANO, CPA | Agent | 250 CENTERVILLE ROAD BUILDING E, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| STEPHEN J PETTERUTI D.O. | PRESIDENT | 75 WALNUT DRIVE EAST GREENWICH, RI 02818 USA |
| Number | Name | File Date |
|---|---|---|
| 202444275190 | Annual Report | 2024-01-19 |
| 202326466980 | Annual Report | 2023-01-23 |
| 202209118180 | Annual Report | 2022-02-01 |
| 202186050660 | Annual Report | 2021-01-14 |
| 201929820380 | Annual Report | 2019-12-12 |
| 201883297640 | Annual Report - Amended | 2018-12-27 |
| 201883295240 | Annual Report | 2018-12-27 |
| 201855591060 | Annual Report | 2018-01-03 |
| 201729472220 | Annual Report | 2017-01-04 |
| 201589482340 | Annual Report | 2015-12-21 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8586378304 | 2021-01-29 | 0165 | PPS | 250 Centerville Rd Bldg E10, Warwick, RI, 02886-4389 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9311377107 | 2020-04-15 | 0165 | PPP | 250 e CENTERVILLE RD Unit 10, WARWICK, RI, 02886-4352 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
