Organization
RESOURCE ANESTHESIOLOGY ASSOCIATES OF VA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC E. KOCH M.D. (PRESIDENT & CEO)
(914) 637-3511
Entity
Organization
Contact information
Practice address
2296 OPITZ BLVD STE 350, WOODBRIDGE, VA 22191-3346
(914) 637-2075
(703) 780-9518
Mailing address
450 MAMARONECK AVE STE 201, HARRISON, NY 10528-2436
(914) 637-2075
(914) 819-0061
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043365299
—
VA
Enumeration date
01/25/2007
Last updated
04/03/2019
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