# FREDERICKSBURG ANESTHESIA SERVICES, LLC

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

## Provider details

- **NPI number:** 1740435759
- **Authorized official:** DR. MARC E. KOCH M.D. (PRESIDENT & CEO)
- **Authorized official phone:** (914) 637-3511

## Contact information

- **Practice address:** 4103 LAFAYETTE BLVD, FREDERICKSBURG, VA 22408-4274
- **Practice address phone:** (540) 371-9696
- **Practice address fax:** (540) 371-2046
- **Mailing address:** 450 MAMARONECK AVE STE 201, HARRISON, NY 10528-2436
- **Mailing address phone:** (914) 637-2075
- **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:** 11/19/2008
- **Last updated:** 04/03/2019