Entity Summary
ID Number: 000083698    
Summary for:  Coastal Medical, Inc.
The exact name of the Professional Service Corporation:   Coastal Medical, Inc.
The name was changed from: Rhode Island Primary Care, Inc. on 07-20-1995
Entity type:   Professional Service Corporation
Identification Number: 000083698
Date of Organization in Rhode Island:   03-31-1995 Effective Date:   03-31-1995
The location of the Principal Office:
         
Address: 10 DAVOL SQUARE SUITE 400
City or Town, State, Zip, Country: PROVIDENCE,   RI   02903   USA
Agent Resigned:  N   Address Maintained:  Y  
The name and address of the Registered Agent:
         
Name: CHRISTOPHER FERRARO
Address: COASTAL MEDICAL, INC. 10 DAVOL SQUARE, SUITE 300
City or Town, State, Zip, Country: PROVIDENCE,   RI   02903   USA
The Officers and Directors of the Corporation:
TitleIndividual NameAddress
PRESIDENTDAVID FRIED M.D.10 DAVOL SQUARE PROVIDENCE, RI 02903 USA
TREASURERROBERT CICCHELLI M.D.10 DAVOL SQUARE, SUITE 300 PROVIDENCE, RI 02903 USA
SECRETARYROBERT CICCHELLI M.D.10 DAVOL SQUARE, SUITE 300 PROVIDENCE, RI 02903 USA
CHAIRDAVID FRIED M.D.10 DAVOL SQUARE, SUITE 300 PROVIDENCE, RI 02903 USA
DIRECTORMANOJ GARG D.O.10 DAVOL SQUARE, SUITE 300 PROVIDENCE, RI 02903 USA
DIRECTORRAYMOND ZARLENGO M.D.10 DAVOL SQUARE, SUITE 300 PROVIDENCE, RI 02903 USA
DIRECTORCRISTINA MITCHELL M.D.10 DAVOL SQUARE, SUITE 300 PROVIDENCE, RI 02903 USA
The total number of shares and the par value, if any, of each class of stock which this business entity is authorized to issue:
Class of Stock Series Par value per share Total Authorized Total issued and outstanding
No. of shares No. of shares
CWP $ 0.01008,0004,040
Purpose:
North American Industry Classification System Code(NAICS):
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