Lyle Marnin Back, M.D.

Plastic Surgery Physician · Cherry Hill, NJ

Individual Active NPI Reactivated March 29, 2006

NPI number 1639172679

Practice location

1942 Route 70 E
Cherry Hill, NJ 08003-2118
Phone
(856) 751-7550
Fax
(856) 751-7544

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NPI record

NPI
1639172679
Entity type
Individual (Type 1)
Enumeration date
May 23, 2005
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Plastic Surgery Physician Primary 208200000X MA046399 NJ

About Dr. Back

Lyle Marnin Back, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Plastic Surgery Physician (code 208200000X). The practice location is 1942 Route 70 E, Cherry Hill, NJ 08003-2118. The NPI number 1639172679 was assigned on May 23, 2005 and the record was last updated on July 8, 2007.

Dr. Back lists a license in the registry: #MA046399 (NJ) for Plastic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lyle Marnin Back, M.D.?

The NPI number is 1639172679.

What is the phone number of Dr. Back?

The phone number listed for the practice location is (856) 751-7550.

Where is Dr. Back located?

1942 Route 70 E, Cherry Hill, NJ 08003-2118.

What is the taxonomy code for Dr. Back?

The primary taxonomy code is 208200000X – Plastic Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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