# WILKES-BARRE ANESTHESIA SERVICES

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

## Provider details

- **NPI number:** 1760704613
- **Authorized official:** DR. MARC E. KOCH MD (PRESIDENT & CEO)
- **Authorized official phone:** (914) 637-3511

## Contact information

- **Practice address:** 575 N RIVER ST, WILKES BARRE, PA 18764-0001
- **Practice address phone:** (570) 829-8111
- **Mailing address:** 10 COMMERCE DR, NEW ROCHELLE, NY 10801-5214
- **Mailing address phone:** (914) 637-3510
- **Mailing address fax:** (914) 633-3287

## Taxonomy

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

## Other

- **Enumeration date:** 02/19/2010
- **Last updated:** 02/19/2010
