| Name: | IULIA CIRCIUMARU RHEUMATOLOGY & INTERNAL MEDICINE, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 19 Mar 2012 (13 years ago) |
| Identification Number: | 000788860 |
| ZIP code: | 02806 |
| County: | Bristol County |
| Principal Address: | 260 MAPLE AVENUE REAR, BARRINGTON, RI, 02806, USA |
| Purpose: | PHYSICIAN |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174887210 | 2012-07-03 | 2013-06-12 | 310 MAPLE AVE, SUITE L01, BARRINGTON, RI, 028063430, US | 310 MAPLE AVE, SUITE L01, BARRINGTON, RI, 028063430, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 401-289-0011 |
| Fax | 4012892736 |
Authorized person
| Name | IULIA GRILLO |
| Role | OWNER |
| Phone | 4012890011 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | MD11388 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| License Number | MD11388 |
| State | RI |
| Is Primary | No |
Other Provider Identifiers
| Issuer | TYPE I NPI |
| Number | 1609859479 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| LUIA GRILLO | Agent | 73 PRIMROSE HILL ROAD, BARRINGTON, RI, 02806, USA |
| Number | Name | File Date |
|---|---|---|
| 202445365890 | Annual Report | 2024-02-02 |
| 202327498610 | Annual Report | 2023-02-03 |
| 202209433490 | Annual Report | 2022-02-04 |
| 202100948110 | Annual Report | 2021-09-05 |
| 202063430390 | Annual Report | 2020-10-10 |
| 201922712240 | Annual Report | 2019-10-04 |
| 201877933600 | Annual Report | 2018-09-21 |
| 201862228740 | Statement of Change of Registered/Resident Agent | 2018-04-16 |
| 201860512120 | Agent Resigned | 2018-03-16 |
| 201750134830 | Annual Report | 2017-09-20 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
