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Organization
MANASSAS SURGERY CENTER ANESTHESIA SERVICES, LLC
Active
Organization
MANASSAS SURGERY CENTER ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC E. KOCH M.D. (PRESIDENT & CEO)
(914) 637-3511
Entity
Organization
Contact information
Practice address
8409 DORSEY CIR, SUITE 101, MANASSAS, VA 20110-8305
(703) 580-0181
(703) 897-8763
Mailing address
10 COMMERCE DR, NEW ROCHELLE, NY 10801-5214
(914) 637-3510
(914) 819-0061
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/06/2007
Last updated
08/05/2008
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