Name: | Gregory G. Allen, Jr., D.O., Inc. |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Profit Corporation |
Status: | Activ |
Date of Organization in Rhode Island: | 19 Jul 2007 (18 years ago) |
Identification Number: | 000165275 |
ZIP code: | 02818 |
County: | Kent County |
Principal Address: | 4300 POST ROAD, EAST GREENWICH, RI, 02818, USA |
Purpose: | INTERNAL MEDICINE PRACTICE / MEDICAL CONSULTATION |
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 | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1609005958 | 2009-07-08 | 2009-07-08 | 1681 CRANSTON ST, SUITE D, CRANSTON, RI, 029205000, US | 1681 CRANSTON ST, SUITE D, CRANSTON, RI, 029205000, US | |||||||||||||||||||
|
Phone | +1 401-946-8446 |
Fax | 4019468340 |
Authorized person
Name | MARK J BERGERON |
Role | PRACTICE MANAGER |
Phone | 4019466460 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | DO 00582 |
State | RI |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SEAN T. O'LEARY, ESQ. | Agent | 4060 POST ROAD, WARWICK, RI, 02886, USA |
Name | Role | Address |
---|---|---|
GREGORY G. ALLEN JR. | PRESIDENT | 659 MIDDLE ROAD EAST GREENWICH, RI 02818 USA |
Number | Name | File Date |
---|---|---|
202448002350 | Annual Report | 2024-03-07 |
202333545270 | Annual Report | 2023-04-21 |
202213418490 | Annual Report | 2022-03-24 |
202190392970 | Annual Report | 2021-02-08 |
202190393940 | Annual Report | 2021-02-08 |
202190392240 | Reinstatement | 2021-02-08 |
202082862510 | Revocation Certificate For Failure to File the Annual Report for the Year | 2020-12-30 |
202055057390 | Revocation Notice For Failure to File An Annual Report | 2020-09-16 |
201989180440 | Annual Report | 2019-03-25 |
201880470730 | Annual Report | 2018-10-30 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State