Jerald I. Kupperberg, M.D., Inc.
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| Name: | Jerald I. Kupperberg, M.D., Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 02 Jan 2008 (18 years ago) |
| Date of Dissolution: | 18 Oct 2019 (6 years ago) |
| Date of Status Change: | 18 Oct 2019 (6 years ago) |
| Identification Number: | 000294724 |
| ZIP code: | 02825 |
| City: | Foster |
| County: | Providence County |
| Purpose: | PHYSICIAN |
| Principal Address: |
54 HOWARD HILL ROAD, FOSTER, RI, 02825, USA
|
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
| Name | Role | Address |
|---|---|---|
| JOHN A. PARMELEE, CPA | Agent | 469 CENTERVILLE ROAD SUITE 203, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| JERALD IVAN KUPPERBERG MD | PRESIDENT | 54 HOWARD HILL RD FOSTER, RI 02825 USA |
| Name | Role | Address |
|---|---|---|
| JERALD IVAN KUPPERBERG MD | TREASURER | 54 HOWARD HILL RD FOSTER, RI 02825 USA |
| Name | Role | Address |
|---|---|---|
| JERALD IVAN KUPPERBERG MD | SECRETARY | 54 HOWARDHILL RD FOSTER, RI 02825 USA |
| Name | Role | Address |
|---|---|---|
| JERALD IVAN KUPPERBERG MD | DIRECTOR | 54 HOWARD HILL RD FOSTER, RI 02825 USA |
| Number | Name | File Date |
|---|---|---|
| 201924598220 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-10-18 |
| 201907078220 | Revocation Notice For Failure to File An Annual Report | 2019-07-24 |
| 201857606410 | Annual Report | 2018-02-05 |
| 201729870170 | Annual Report | 2017-01-10 |
| 201589460690 | Annual Report | 2015-12-19 |
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Date of last update: 12 Jul 2025
Sources: Rhode Island Department of State