DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN J BACK, M.D.

Active

SUSAN J BACK, M.D. is a Diagnostic Radiology healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1902936669 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · PHILADELPHIA, PA

Registration Details

NPI Number
1902936669
Provider Type
Individual
Gender
Female
NPI Issued
Mar 6, 2007 (19.447419710417 yrs)
Last Updated
May 30, 2013
Licenses
MD429646 (PA)
MD429646 (PA)
MT184561 (PA)
MD429646 (PA)

Practice Information

Address
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - RADIOLOGY
PHILADELPHIA, PA, 191044319
Browse PA providers · Browse ZIP 19104
Phone
2155907000
Fax
2155909348
Primary Specialty
Diagnostic Radiology
2085R0202X
Additional Specialty
Pediatrics
Additional Specialty
Pediatric Emergency Medicine
Additional Specialty
Body Imaging
Additional Specialty
Diagnostic Radiology

Other Diagnostic Radiology Providers in PHILADELPHIA, PA

Name Credential NPI
DR. FLAVIUS F. GUGLIELMO MD 1346246642
DR. NANCY JACOBS GOLDENBERG M.D. 1841297736
STEVEN DAVID HERMAN M.D. 1609876689
IRA R STARK DO 1710987854
NEIL J BERGER DO 1376535997
SUAT ENG TER M.D. 1689666125
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.