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NPI Code Detail

MEDICARE: RESOURCE ANESTHESIOLOGY ASSOCIATES OF CT PC

MEDICARE: RESOURCE ANESTHESIOLOGY ASSOCIATES OF CT PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist
2207L00000XAnesthesiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447233176
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESOURCE ANESTHESIOLOGY ASSOCIATES OF CT PC
Provider Business Mailing Address
First Line : 450 MAMARONECK AVE STE 201
Second Line :
City : HARRISON
State : NY
Zip : 10528-2436
Country : US
Telephone Number : 914-491-9495
Fax Number : 914-365-6307
Provider Business Practice Location Address
First Line : 540 LITCHFIELD ST
Second Line :
City : TORRINGTON
State : CT
Zip : 06790-6679
Country : US
Telephone Number : 877-580-4635
Fax Number : 203-756-2448
Authorized Official
Title or Position : PRESIDENT & CEO
Name : DR. MARC E. KOCH
Credential : M.D.
Telephone Number : 914-491-9495
Provider Enumeration Date : 11/28/2005
Last Update Date : 05/06/2026

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Directions to “RESOURCE ANESTHESIOLOGY ASSOCIATES OF CT PC ” Practice Location

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