Entity Summary
ID Number: 000305808    
Summary for:  Beth Israel Deaconess Physician Organization, LLC
The exact name of the Foreign Limited Liability Company:   Beth Israel Deaconess Physician Organization, LLC
Entity type:   Foreign Limited Liability Company
Identification Number: 000305808
Date of Registration in Rhode Island:   01-30-2008 Effective Date:   01-30-2008
Date of Revocation Certificate:   06-03-2021  
Organized under the laws of: State: MA Country: USA
The location of the Principal Office:
         
Address: 247 STATION AVENUE NORTHWEST 1
City or Town, State, Zip, Country: WESTWOOD,   MA   02090   USA
The mailing address or specified office:
         
Address: 247 STATION AVENUE, NORTHWEST 1
City or Town, State, Zip, Country: WESTWOOD,   MA   02090   USA
Agent Resigned:  N   Address Maintained:  Y  
The name and address of the Resident Agent:
         
Name: NATIONAL REGISTERED AGENTS, INC.
Address: 450 VETERANS MEMORIAL PARKWAY, SUITE 7A
City or Town, State, Zip, Country: EAST PROVIDENCE,   RI   02914   USA
The limited liability company is to be managed by its Managers
The name and business address of each Manager:
TitleIndividual nameAddress
MANAGERSTANLEY M LEWIS MD330 BROOKLINE AVE, STONEMAN BLDG, SUITE 215 BOSTON, MA 02215 USA
MANAGERSTEVEN FISCHER 330 BROOKLINE AVE, STONEMAN BLDG, SUITE 207 BOSTON, MA 02215 USA
MANAGERFOSTER ABORN C/O JOHN HANCOCK, 200 BERKELEY ST B-01-10 BOSTON, MA 02116 USA
MANAGERPETER MOWSCHENSON MD1180 BEACON ST, SUITE 6B BROOKLINE, MA 02446 USA
MANAGERJOHN M FOGARTY 330 BROOKLINE AVE BOSTON, MA 02215 USA
MANAGERROBERT GABBAY, MDONE JOSLIN PLACE BOSTON, MA 02215 USA
MANAGERMARY ANN STEVENSON MD, MPH330 BROOKLINE AVE, FINARD BASEMENT BOSTON, MA 02215 USA
MANAGERALEXA B. KIMBALL MD, MPH375 LONGWOOD AVENUE BOSTON, MA 02215 USA
MANAGERELIZABETH KASS MD1340 BOYLSTON ST BOSTON, MA 02215 USA
MANAGERDAVID V IVES MD482 BEDFORD ST LEXINGTON, MA 02420 USA
MANAGERELLEN KWAN 330BROOKLINE AVE BOSTON, MA 02090 USA
MANAGERDAVID PASSAFARO 330 BROOKLINE AVENUE BOSTON, MA 02215 USA
MANAGERDEBORAH DEVAUX 247 STATION DRIVE, SUITE NW1 WESTWOOD, MA 02090 USA
MANAGERASSAAD SAYAH 330 BROOKLINE AVENUE BOSTON, MA 02215 USA
Purpose:
North American Industry Classification System Code(NAICS):
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