National Provider Identifier Database

SUSAN J BACK, MD – NPI #1902936669
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

SUSAN J BACK, MD
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - RADIOLOGY
PHILADELPHIA, PA19104-4319
Phone: 215-590-7000
Fax: 215-590-9348
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Body Imaging 2085B0100X
Pediatric Emergency Medicine 2080P0204X
Pediatrics 208000000X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for SUSAN J BACK

NPI Number 1902936669
Credentials MD
Entity Individual
Enumeration date 03/06/2007
Last updated 05/30/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • PA License #: MD429646
  • PA License #: MT184561
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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