# MANASSAS SURGERY CENTER ANESTHESIA SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548443153
- **Authorized official:** DR. MARC E. KOCH M.D. (PRESIDENT & CEO)
- **Authorized official phone:** (914) 637-3511

## Contact information

- **Practice address:** 8409 DORSEY CIR, SUITE 101, MANASSAS, VA 20110-8305
- **Practice address phone:** (703) 580-0181
- **Practice address fax:** (703) 897-8763
- **Mailing address:** 10 COMMERCE DR, NEW ROCHELLE, NY 10801-5214
- **Mailing address phone:** (914) 637-3510
- **Mailing address fax:** (914) 819-0061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2007
- **Last updated:** 08/05/2008