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Atwood Gastroenterology Services, Ltd.

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Company Details

Name: Atwood Gastroenterology Services, Ltd.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 19 Dec 2003 (21 years ago)
Date of Dissolution: 12 Jan 2017 (8 years ago)
Date of Status Change: 12 Jan 2017 (8 years ago)
Identification Number: 000136657
ZIP code: 02920
County: Providence County
Purpose: THE PRACTICE OF MEDICINE
Principal Address: Google Maps Logo 15 BLUE RIDGE ROAD, CRANSTON, RI, 02920, USA

Agent

Name Role Address
WALTER F. RICHARDSON III, ESQ. Agent 1551 CENTREVILLE ROAD, WARWICK, RI, 02886, USA

PRESIDENT

Name Role Address
VINCENT VACCA MD PRESIDENT 15 BLUE RIDGE ROAD CRANSTON, RI 02920

National Provider Identifier

NPI Number:
1407836109

Authorized Person:

Name:
VINCENT VACCA
Role:
PHYSICIAN OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
200521951
Plan Year:
2015
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
4
Sponsors Telephone Number:

Filings

Number Name File Date
201730009440 Articles of Dissolution 2017-01-12
201695449460 Annual Report 2016-03-31
201558033470 Annual Report 2015-03-25
201434432580 Annual Report 2014-01-27
201310436110 Annual Report 2013-01-25

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Date of last update: 21 May 2025

Sources: Rhode Island Department of State