Individual
NORMAN A BACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 IRON BRIDGE ROAD, SUITE 4, FREEHOLD, NJ 07728
(732) 431-1807
(732) 409-2777
Mailing address
501 IRON BRIDGE ROAD, SUITE 4, FREEHOLD, NJ 07728
(732) 431-1807
(732) 409-2777
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA04582700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036784
GHI
—
01
—
0098317000
AMERIHEALTH
—
01
—
2K6859
HEALTHNET
—
01
—
MP029
OXFORD
—
Enumeration date
09/27/2005
Last updated
09/20/2012
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