Organization
MANASSAS SURGERY CENTER ANESTHESIA SERVICES, 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
8409 DORSEY CIR, SUITE 101, MANASSAS, VA 20110-8305
(703) 580-0181
(703) 897-8763
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
—
1548443153
—
VA
Enumeration date
12/06/2007
Last updated
08/05/2008
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