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Contact Information

NORMAN A BACK, MD
501 IRON BRIDGE ROAD
SUITE 4
FREEHOLD TOWNSHIP, NJ07728
 Phone: 732-431-1807
 Fax: 732-409-2777
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for NORMAN A BACK · (Male)

NPI Number 1528055266
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2005
Last updated 09/20/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA04582700
  • Other 0098317000 AMERIHEALTH
  • Other 0036784 GHI
  • Other 2K6859 HEALTHNET
  • Other MP029 OXFORD
Hospital affiliation(s)
  • CENTRASTATE MEDICAL CENTER - (Acute Care)
    901 WEST MAIN STREET
    FREEHOLD, NJ 07728
  • MONMOUTH MEDICAL CENTER - (Acute Care)
    300 SECOND AVENUE
    LONG BRANCH, NJ 07740
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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