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)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 | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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6808288505 | 2021-03-04 | 0165 | PPS | 260 Maple Ave Rear, Barrington, RI, 02806-3406 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State