LIFESPAN PHYSICIAN GROUP, INC.
BranchDate of last update: 21 Apr 2025. Data updated weekly.
| Entity Name: | LIFESPAN PHYSICIAN GROUP, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 04 Sep 2012 |
| Branch of: | LIFESPAN PHYSICIAN GROUP, INC., RHODE ISLAND (Company Number 000028426) |
| Business ALEI: | 1082039 |
| Annual report due: | 04 Sep 2025 |
| Business address: | 167 POINT STREET, PROVIDENCE, RI, 02903, United States |
| Mailing address: | 167 POINT STREET, PROVIDENCE, RI, United States, 02903 |
| Place of Formation: | RHODE ISLAND |
| E-Mail: | pgordon@nixonpeabody.com |
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 Osteopathic Medicine) 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
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Babar Khokhar | Officer | 167 Point Street, Ste. 2B, Providence, RI, 02903, United States | 167 Point Street, Ste. 2B, Providence, RI, 02903, United States |
| Peter Markell, CFO | Officer | 167 Point St., Ste. 2B, Providence, RI, 02903-4771, United States | 167 Point St., Ste. 2B, Providence, RI, 02903-4771, United States |
| GILDASIO S. DE OLIVEIRA, | Officer | 593 EDDY ST., PROVIDENCE, RI, 02903, United States | 593 EDDY ST., PROVIDENCE, RI, 02903, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Edward McGookin, MD | Director | 10 Davol Sq., Ste. 300, Providence, RI, 02903, United States | 10 Davol Sq., Ste. 300, Providence, RI, 02903, United States |
| JILL O'BRIEN M.D. | Director | 164 SUMMIT AVE., PROVIDENCE, RI, 02906, United States | 164 SUMMIT AVE., PROVIDENCE, RI, 02906, United States |
| Jessica Attar, MSN | Director | 593 Eddy St, Providence, RI, 02903-4923, United States | 593 Eddy St, Providence, RI, 02903-4923, United States |
| CURTIS E. DOBERSTEIN M.D. | Director | 593 EDDY ST., PROVIDENCE, RI, 02903, United States | 593 EDDY ST., PROVIDENCE, RI, 02903, United States |
| Anish Misri, M.D. | Director | 593 Eddy St, Providence, RI, 02903-4923, United States | 593 Eddy St, Providence, RI, 02903-4923, United States |
| LINDA DAME DNP FNP-BC | Director | SOUTH STREET LANDING, 350 EDDY ST., OFFICE 292, PROVIDENCE, RI, 02903, United States | SOUTH STREET LANDING, 350 EDDY ST., OFFICE 292, PROVIDENCE, RI, 02903, United States |
| Julie Boergers, Ph.D. | Director | 1 Hoppin St, Providence, RI, 02903, United States | 1 Hoppin St, Providence, RI, 02903, United States |
| Adetokunbo Oyelese, MD | Director | 593 Eddy St, Providence, RI, 02903, United States | 593 Eddy St, Providence, RI, 02903, United States |
| PAUL LIU M.D. | Director | 235 Plain St., Ste. 102, PROVIDENCE, RI, 02805, United States | 235 Plain St., Ste. 102, PROVIDENCE, RI, 02805, United States |
| MICHAEL E. MIGLIORI M.D. | Director | 1 HOPPIN ST., SUITE 202, PROVIDENCE, RI, 02903, United States | 1 HOPPIN ST., SUITE 202, PROVIDENCE, RI, 02903, United States |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012077882 | 2024-08-09 | - | Annual Report | Annual Report | - |
| BF-0011435740 | 2023-08-29 | - | Annual Report | Annual Report | - |
| BF-0010269904 | 2022-09-06 | - | Annual Report | Annual Report | 2022 |
| BF-0010477750 | 2022-01-14 | 2022-01-14 | Mass Agent Change � Address | Agent Address Change | - |
| BF-0009812119 | 2021-09-15 | - | Annual Report | Annual Report | - |
| 0006978354 | 2020-09-14 | - | Annual Report | Annual Report | 2020 |
| 0006943532 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | - |
| 0006950703 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | - |
| 0006627858 | 2019-08-21 | - | Annual Report | Annual Report | 2019 |
| 0006284714 | 2018-11-29 | - | Annual Report | Annual Report | 2018 |
Sources: Company Profile on Connecticut's Official State Website
* While we strive to keep this information correct and up-to-date, it is not the primary source, and the dataset source should always be referred to for definitive information