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Organization
PROVIDENCE WA ANESTHESIA SERVICES, P.C.
Active
Organization
PROVIDENCE WA ANESTHESIA SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC E. KOCH M.D. (PRESIDENT & CEO)
(914) 491-9495
Entity
Organization
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(914) 491-9495
(800) 886-1042
Mailing address
450 MAMARONECK AVE STE 201, HARRISON, NY 10528-2436
(914) 491-9495
(914) 819-0061
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/17/2009
Last updated
10/16/2026
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