Organization
WILKES-BARRE ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC E. KOCH MD (PRESIDENT & CEO)
(914) 637-3511
Entity
Organization
Contact information
Practice address
575 N RIVER ST, WILKES BARRE, PA 18764-0001
(570) 829-8111
Mailing address
10 COMMERCE DR, NEW ROCHELLE, NY 10801-5214
(914) 637-3510
(914) 633-3287
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
PA
Enumeration date
02/19/2010
Last updated
02/19/2010
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