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Individual

DR. STEVEN MARC BACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3300 TILLMAN DR, BENSALEM, PA 19020-2071
(215) 244-7400
Mailing address
610 W. PLYMOUTH MEETING, SUITE 150, BRYN MAWR, PA 19462
(610) 525-4966
(610) 525-0874

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA09723700
NJ
207L00000X
Anesthesiology Physician
A78879
CA
207L00000X
Anesthesiology Physician
MD467107
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A788790
CA
Enumeration date
06/30/2006
Last updated
10/16/2023
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