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THOMAS DAVID PULEO, M.D., LLC

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Company Details

Name: THOMAS DAVID PULEO, M.D., LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Revoked Entity
Date of Organization in Rhode Island: 17 Nov 2006 (19 years ago)
Date of Dissolution: 22 Jul 2019 (6 years ago)
Date of Status Change: 22 Jul 2019 (6 years ago)
Identification Number: 000159833
ZIP code: 02920
City: Cranston
County: Providence County
Purpose: MEDICAL OFFICE
Principal Address: Google Maps Logo 1220 PONTIAC AVENUE SUITE 302, CRANSTON, RI, 02920, USA
Mailing Address: Google Maps Logo 233 NORWOOD AVENUE, CRANSTON, RI, 02905, USA

Industry & Business Activity

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

Agent

Name Role Address
THOMAS DAVID PULEO Agent 233 NORWOOD AVENUE, CRANSTON, RI, 02905, USA

National Provider Identifier

NPI Number:
1164599858

Authorized Person:

Name:
DR. THOMAS D PULEO
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
4019444412

Form 5500 Series

Employer Identification Number (EIN):
205906467
Plan Year:
2021
Number Of Participants:
6
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
EDWARD ROJAS(Plan administrator)
Plan Year:
2019
Number Of Participants:
8
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
EDWARD ROJAS(Plan administrator)
Plan Year:
2018
Number Of Participants:
7
Sponsor's telephone number:
Plan Administrator / Signatory:
EDWARD ROJAS(Plan administrator)
Plan Year:
2017
Number Of Participants:
7
Sponsor's telephone number:
Plan Administrator / Signatory:
EDWARD ROJAS(Plan administrator)

Filings

Number Name File Date
201906315380 Revocation Certificate For Failure to File the Annual Report for the Year 2019-07-22
201992665130 Revocation Notice For Failure to File An Annual Report 2019-05-13
201751816140 Annual Report 2017-10-18
201608865480 Annual Report 2016-09-14
201582165240 Annual Report 2015-10-10

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Date of last update: 12 Jul 2025

Sources: Rhode Island Department of State