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NPI Code Detail

MEDICARE: FOREFRONT-ROSENZWEIG MEDICAL SERVICES PROFESSIONAL CORPORATION

MEDICARE: FOREFRONT-ROSENZWEIG MEDICAL SERVICES PROFESSIONAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588101745
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOREFRONT-ROSENZWEIG MEDICAL SERVICES PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 1717 MAIN ST STE 5850
Second Line :
City : DALLAS
State : TX
Zip : 75201-7317
Country : US
Telephone Number : 972-449-0540
Fax Number : 972-449-0542
Provider Business Practice Location Address
First Line : 1717 MAIN ST STE 5850
Second Line :
City : DALLAS
State : TX
Zip : 75201-7317
Country : US
Telephone Number : 972-449-0540
Fax Number :
Authorized Official
Title or Position : ACCESS MANAGER
Name : SARA VITULLO
Credential :
Telephone Number : 469-895-9275
Provider Enumeration Date : 01/26/2017
Last Update Date : 04/10/2026

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Directions to “FOREFRONT-ROSENZWEIG MEDICAL SERVICES PROFESSIONAL CORPORATION ” Practice Location

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