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Contact Information

LYLE M BACK, MD
1942 ROUTE 70 E
CHERRY HILL, NJ08003-2118
 Phone: 856-751-7550
 Fax: 856-751-7544
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LYLE M BACK · (Male)

NPI # 1639172679
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # MA046399
Hospital affiliation(s) Not Available
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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