Susan J Back in Philadelphia - Pediatric Emergency Medicine
Susan J Back - NPI 1902936669
Susan J Back is a Pediatric Emergency Medicine in Philadelphia, Pennsylvania. Susan J Back practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Susan J Back is 1902936669. The last update date is 2013-05-30.
Susan J Back's current location address is 100 E Penn Sq, Philadelphia, Pennsylvania. You can contact this provider via phone number 2674259234 and fax number 2674259299. The mailing address for Susan J Back is 100 E Penn Sq, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan J Back |
|---|---|
| Address | 100 E Penn Sq, Philadelphia, Pennsylvania |
| Phone Number | 2674259234 |
| Fax Number | 2674259299 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902936669 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2013-05-30 |
Provider Mailing Address Detail
| Address | 100 E Penn Sq |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191073323 |
| Phone Number | 2674259234 |
| Fax Number | 2674259299 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 2080P0204X |
| Licence No | MD429646 |
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Definition: A pediatrician who has special qualifications to manage emergencies in infants and children. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan J Back by the Centers for Medicare & Medicaid Services?
The Susan J Back has been assigned the NPI (National Provider Identifier) 1902936669 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Susan J Back is physically located?
The Susan J Back is physically situated at the following address: 100 E Penn Sq, Philadelphia, PA, 191073323.
What is the Susan J Back's area of specialization and corresponding taxonomy classification?
The Susan J Back's specialty field is Pediatric Emergency Medicine, and it falls under the taxonomy code 2080P0204X, which categorizes healthcare providers based on their specialties.
When did the Susan J Back receive its 1902936669?
The Susan J Back was issued its 1902936669 on 2007-03-06, which is the date when the organization was assigned this unique identifier.
When was the information related to Susan J Back most recently updated or refreshed?
The details pertaining to the Susan J Back, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-05-30.