| Name: | Petteruti Family Practice, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 31 May 2001 (24 years 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) |
| 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 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
