Active NPIIndividual providerSole proprietor

Dr. Lyle M Back, MD

Plastic Surgery in Cherry Hill, New Jersey

NPI Number1639172679
Practice location
1942 Route 70 E, Cherry Hill, NJ 08003-2118
Fax
856-751-7544
Last updated
July 8, 2007

Lyle Marnin Back is a Plastic Surgery based in Cherry Hill, NJ. Lyle Marnin Back practices in Cherry Hill, NJ and has the professional credentials of MD. The NPI Number for Lyle Marnin Back is 1639172679 and holds a License No. MA046399 (NJ). The current practice location address for Lyle Marnin Back is 1942 Route 70 E, Cherry Hill, NJ 08003-2118 and can be reached out via phone at 856-751-7550 and via fax at 856-751-7544.

Provider Profile Details

NPI Number
1639172679
Provider Name
Lyle Marnin Back
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1942 Route 70 E, Cherry Hill, NJ 08003-2118
Phone Number
856-751-7550
Fax Number
856-751-7544
Primary Taxonomy
Plastic Surgery · 208200000X
Sole Proprietor
Yes
Provider Enumeration Date
May 23, 2005
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1942 Route 70 E
Cherry Hill, NJ 08003-2118
Zip
08003-2118
Phone Number
856-751-7550
Fax Number
856-751-7544
Cherry Hill, NJ 08003Get directions →

Provider Business Mailing Address Details

Address
1942 Route 70 E
Cherry Hill, NJ 08003-2118
City
Cherry Hill
State
NJ
Zip
08003-2118
Phone Number
856-751-7550
Fax Number
856-751-7544

License Information

License Number
MA046399
License State
NJ
Taxonomy
Plastic Surgery · 208200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Lyle M Back, MD?

The NPI number of Dr. Lyle M Back, MD is 1639172679. It was assigned on May 23, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Lyle M Back, MD?

Dr. Lyle M Back, MD is registered under the primary taxonomy Plastic Surgery (code 208200000X), licensed in NJ under license number MA046399.

Where does Dr. Lyle M Back, MD practice?

The practice location is 1942 Route 70 E, Cherry Hill, NJ 08003-2118. The office can be reached at 856-751-7550 (phone) or 856-751-7544 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639172679 directly on the NPPES registry website.

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