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NPI Code Detail

MEDICARE: RESOURCE ANESTHESIOLOGY ASSOCIATES OF PA, P.C.

MEDICARE: RESOURCE ANESTHESIOLOGY ASSOCIATES OF PA, P.C.
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
1207L00000XAnesthesiology 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 : 1487637120
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESOURCE ANESTHESIOLOGY ASSOCIATES OF PA, P.C.
Provider Business Mailing Address
First Line : 10 COMMERCE DR
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10801-5214
Country : US
Telephone Number : 914-637-3510
Fax Number : 914-819-0061
Provider Business Practice Location Address
First Line : 681 SCRANTON CARBONDALE HWY
Second Line :
City : EYNON
State : PA
Zip : 18403-1022
Country : US
Telephone Number : 570-282-6100
Fax Number : 570-876-5300
Authorized Official
Title or Position : PRESIDENT & CEO
Name : DR. MARC E. KOCH
Credential : M.D.
Telephone Number : 914-637-3511
Provider Enumeration Date : 11/28/2005
Last Update Date : 08/05/2008

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