Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LYLE MARNIN BACK, M.D.
Deactivated Sole ProprietorDR. LYLE MARNIN BACK, M.D. is a Plastic Surgery healthcare provider located in CHERRY HILL, New Jersey. NPI 1639172679 is deactivated in the NPPES registry. Verify at CMS.
Plastic Surgery · CHERRY HILL, NJ
This NPI has been deactivated.
The record was deactivated on March 15, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1639172679
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2005 (0.81095890410959 yrs)
- Last Updated
- Jul 8, 2007
- Deactivated
- Mar 15, 2006
- License
-
MA046399 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1942 ROUTE 70 ECHERRY HILL, NJ, 080032118Browse NJ providers · Browse ZIP 08003
- Phone
- 8567517550
- Fax
- 8567517544
- Primary Specialty
-
Plastic Surgery
208200000X
Other Plastic Surgery Providers in CHERRY HILL, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. EVAN S. SOROKIN | M.D. | 1619960325 |
| DR. JOHN EUGENE GATTI | MD | 1942336060 |
| DR. GARY MARC BROWNSTEIN | M.D. | 1235260035 |
| STEVEN LARRY DAVIS | D.O. | 1811120918 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.