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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 Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SUSAN J BACK · (Female)

NPI Number 1902936669
Status Active
Credentials MD
Entity Individual
Enumeration date 03/06/2007
Last updated 05/30/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD429646
  • PA License # MT184561
Hospital affiliation(s)
  • CHILDREN'S HOSPITAL OF PHILADELPHIA - (Childrens)
    34TH ST & CIVIC CENTER BLVD
    PHILADELPHIA, PA 19104
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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