Provider Demographics
NPI:1902418007
Name:FOREFRONT-ROSENZWEIG BEHAVIORAL HEALTH MEDICAL SERVICES PC
Entity Type:Organization
Organization Name:FOREFRONT-ROSENZWEIG BEHAVIORAL HEALTH MEDICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENZWEIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-369-6515
Mailing Address - Street 1:3500 QUAKERBRIDGE RD # 105
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1206
Mailing Address - Country:US
Mailing Address - Phone:866-959-2008
Mailing Address - Fax:888-972-2903
Practice Address - Street 1:3500 QUAKERBRIDGE RD # 105
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1206
Practice Address - Country:US
Practice Address - Phone:866-959-2008
Practice Address - Fax:888-972-2903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty