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New England Pain Associates, P.C.

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Company Details

Name: New England Pain Associates, P.C.
Jurisdiction: Rhode Island
Entity type: Foreign Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 30 Nov 2005 (20 years ago)
Date of Dissolution: 20 Oct 2008 (17 years ago)
Date of Status Change: 20 Oct 2008 (17 years ago)
Identification Number: 000152138
ZIP code: 02915
County: Providence County
Place of Formation: MASSACHUSETTS
Purpose: PHYSICIAN MEDICAL PRACTICE
Principal Address: Google Maps Logo 42 HEMINGWAY DRIVE, EAST PROVIDENCE, RI, 02915-, USA

Agent

Name Role Address
FATHALLA M. MASHALI, MD Agent 25 JOHN CUMMINGS WAY, WOONSOCKET, RI, 02895-, USA

PRESIDENT

Name Role Address
FATHALLA M MASHALI MD PRESIDENT 42 HEMINGWAY DRIVE EAST PROVIDENCE, RI 02915- USA

National Provider Identifier

NPI Number:
1265730162

Authorized Person:

Name:
DR. FATHALLA MASHALI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QP3300X - Pain Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
200836729920 Revocation Certificate For Failure to File the Annual Report for the Year 2008-10-20
200813173100 Revocation Notice For Failure to File An Annual Report 2008-08-04

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Date of last update: 28 May 2025

Sources: Rhode Island Department of State