| 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) |
| 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
