| Name: | Salvatore R. Abbruzzese, DO, P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 19 Oct 2022 (2 years ago) |
| Identification Number: | 001747502 |
| ZIP code: | 02879 |
| County: | Washington County |
| Principal Address: | 24 SALT POND ROAD SUITE H5, WAKEFIELD, RI, 02879, USA |
| Purpose: | MEDICAL PRACTICE |
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 | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689385643 | 2022-12-12 | 2023-04-11 | 10 HIGH ST, WAKEFIELD, RI, 028793176, US | 10 HIGH ST, WAKEFIELD, RI, 028793176, US | |||||||||||||||||||||
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| Phone | +1 401-757-6973 |
| Fax | 4016850420 |
Authorized person
| Name | SALVATORE R ABBRUZZESE JR. |
| Role | OWNER |
| Phone | 4017576973 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | DO00781 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| HASLAW, INC. | Agent | 100 WESTMINSTER STREET SUITE 1500 C/O HINCKLEY ALLEN & SNYDER LLP, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| SALVATORE R. ABBRUZZESE, DO | PRESIDENT | 24 SALT POND ROAD, SUITE H5 WAKEFIELD, RI 02879 USA |
| Name | Role | Address |
|---|---|---|
| SALVATORE R. ABBRUZZESE, DO | TREASURER | 24 SALT POND ROAD, SUITE H5 WAKEFIELD, RI 02879 USA |
| Name | Role | Address |
|---|---|---|
| SALVATORE R. ABBRUZZESE, DO | SECRETARY | 24 SALT POND ROAD, SUITE H5 WAKEFIELD, RI 02879 USA |
| Name | Role | Address |
|---|---|---|
| SALVATORE R. ABBRUZZESE, DO | DIRECTOR | 24 SALT POND ROAD, SUITE H5 WAKEFIELD, RI 02879 USA |
| Number | Name | File Date |
|---|---|---|
| 202455201960 | Annual Report | 2024-06-01 |
| 202224193140 | Articles of Incorporation | 2022-10-19 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
