Organization
HAZLETON ANESTHESIA SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC E. KOCH M.D. (PRESIDENT & CEO)
(877) 476-6642
Entity
Organization
Contact information
Practice address
700 E BROAD ST, HAZLETON, PA 18201-6835
(877) 580-4635
(570) 501-6203
Mailing address
450 MAMARONECK AVE STE 201, HARRISON, NY 10528-2436
(914) 637-2075
(914) 633-3287
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023973930001
—
PA
Enumeration date
11/19/2009
Last updated
06/18/2025
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