Organization
PENNSYLVANIA ANESTHESIA SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC E. KOCH M.D (PRESIDENT & CEO)
(914) 637-3511
Entity
Organization
Contact information
Practice address
225 S CENTER AVE # 4, SOMERSET, PA 15501-2088
(814) 443-5000
Mailing address
10 COMMERCE DR, NEW ROCHELLE, NY 10801-5253
(914) 637-3530
(914) 560-2227
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/30/2011
Last updated
12/09/2011
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