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Lyle Back, M.D
NPI 1639172679 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1942 Route 70 E
Cherry Hill, NJ 08003 - Phone
- (856) 751-7550
- Fax
- (856) 751-7544
- Organisation at this address
- Cosmetic Surgery Center Of Cherry Hill, Pc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 208200000X
208200000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey