Organization
NEW WOODBRIDGE ANESTHESIA SERVICES, P.C.
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
8409 DORSEY CIR, SUITE 101, MANASSAS, VA 20110-8305
(703) 365-9085
(703) 365-0269
Mailing address
10 COMMERCE DR, NEW ROCHELLE, NY 10801-5214
(914) 637-3510
(914) 819-0061
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124256631
—
VA
Enumeration date
06/24/2009
Last updated
08/03/2009
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