| Entity Name: | BROOKSIDE PEDIATRICS P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Forfeited |
| Date Formed: | 04 Mar 1991 |
| Business ALEI: | 0257956 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 4637 MAIN STREET 4637 MAIN ST STE 4, BRIDGEPORT, CT, 06606, United States |
| Mailing address: | BROOKSIDE PROFESS BLDG 4637 MAIN ST STE 4 4637 MAIN SUITE, BRIDGEPORT, CT, United States, 06606 |
| ZIP code: | 06606 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 10000 |
| E-Mail: | mespocpa@aol.com |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| LINDA M CRONIN | Agent | 4639 MAIN STREET, 4639 MAIN ST, BRIDGEPORT, CT, 06606, United States | 4639 MAIN STREET, 4639 MAIN ST, BRIDGEPORT, CT, 06606, United States | +1 203-268-4155 | mespocpa@aol.com | 24 SOLAR RIDGE, 24 SOLAR RIDGE, TRUMBULL, CT, 06611, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| LINDA M. CRONIN | Officer | 4637 MAIN ST - STE 4, BRIDGEPORT, CT, 06606, United States | 20 SOLAR RIDGE, TRUMBULL, CT, 06606, United States |
| HAROLD S. CRONIN MD | Officer | 4637 MAIN ST - STE 4, BRIDGEPORT, CT, 06606, United States | 20 SOLAR RIDGE, TRUMBULL, CT, 06606, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| HAROLD S. CRONIN MD | Director | 4637 MAIN ST - STE 4, BRIDGEPORT, CT, 06606, United States | 20 SOLAR RIDGE, TRUMBULL, CT, 06606, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CSP.0062044 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | INACTIVE | No data | 2016-02-03 | 2017-03-01 | 2019-02-28 |
| CSP.0001271 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | INACTIVE | No data | 2006-03-01 | 2013-03-01 | 2015-02-28 |
| 1.018579 | Physician/Surgeon | ACTIVE | CURRENT | 1977-01-12 | 2024-05-01 | 2025-04-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012689444 | 2024-07-15 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| BF-0012605107 | 2024-04-11 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| BF-0009789894 | 2022-05-17 | No data | Annual Report | Annual Report | No data |
| 0006814753 | 2020-03-05 | No data | Annual Report | Annual Report | 2020 |
| 0006550216 | 2019-05-02 | No data | Annual Report | Annual Report | 2018 |
| 0006550220 | 2019-05-02 | No data | Annual Report | Annual Report | 2019 |
| 0005787666 | 2017-03-08 | No data | Annual Report | Annual Report | 2017 |
| 0005647744 | 2016-09-08 | No data | Annual Report | Annual Report | 2015 |
| 0005647749 | 2016-09-08 | No data | Annual Report | Annual Report | 2016 |
| 0005052940 | 2014-03-03 | No data | Annual Report | Annual Report | 2014 |
Date of last update: 06 Jan 2025
Sources: Connecticut's Official State Website
