Individual provider · Type 1 NPI

Susan J. Back, MD

Diagnostic Radiology Physician · Philadelphia, PA

NPI number 1902936669 Active

Practice location

3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Radiology
Philadelphia, PA 19104-4319

Call (215) 590-7000 Map

Fax (215) 590-9348

Mailing address

100 E Penn Sq, 9th Floor
Philadelphia, PA 19107-3323

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatrics Physician 208000000XMD429646 (PA)
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204XMD429646 (PA)
Body Imaging Physician 2085B0100XMT184561 (PA)
Diagnostic Radiology Physician Primary 2085R0202XMD429646 (PA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1902936669

Susan J. Back, MD's National Provider Identifier is 1902936669, issued on Mar 6, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Philadelphia, PA. The record was last updated on May 30, 2013.