| Name: | NORWICH ORTHOPEDIC GROUP PC |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 11 Oct 2022 (3 years ago) |
| Identification Number: | 001747266 |
| Principal Address: | 82 NEW PARK AVENUE, NORTH FRANKLIN, CT, 06254, USA |
| Purpose: | MEDICAL |
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 | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154032761 | 2022-12-06 | 2022-12-06 | 82 NEW PARK AVE, NORTH FRANKLIN, CT, 062541807, US | 101 AIRPORT RD, WESTERLY, RI, 028913432, US | |||||||||||||||
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| Phone | +1 860-885-7216 |
| Phone | +1 860-889-7345 |
Authorized person
| Name | SARA GRACE |
| Role | CREDENTIALING SPECIALIST |
| Phone | 8608857216 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NICOLE ARCAND, M.D. | Agent | 21 PURGATORY ROAD, EXETER, RI, 02822, USA |
| Name | Role | Address |
|---|---|---|
| ERIK C FRAZIER | OTHER OFFICER | 82 NEW PARK AVENUE NORTH FRANKLIN, CT 06254 UNI |
| Name | Role | Address |
|---|---|---|
| TARIK KARDESTUNCER | INCORPORATOR | 72 LORD HILL LANE OLD TYME, CT 06371 USA |
| Number | Name | File Date |
|---|---|---|
| 202445919750 | Annual Report | 2024-02-08 |
| 202330885450 | Annual Report | 2023-03-15 |
| 202224108810 | Articles of Incorporation | 2022-10-11 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
