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NPI Code Detail

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

MEDICARE: RESOURCE ANESTHESIOLOGY ASSOCIATES OF GA, 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

General Provider Information

NPI Number : 1578541892
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESOURCE ANESTHESIOLOGY ASSOCIATES OF GA, 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 : 2311 LAKE PARK DR
Second Line : SUITE 4
City : ALBANY
State : GA
Zip : 31707-3183
Country : US
Telephone Number : 229-317-0742
Fax Number :
Authorized Official
Title or Position : PRESIDENT & CEO
Name : DR. MARC E. KOCH
Credential : M.D.
Telephone Number : 914-637-3511
Provider Enumeration Date : 01/06/2006
Last Update Date : 08/05/2008

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Directions to “RESOURCE ANESTHESIOLOGY ASSOCIATES OF GA, P.C. ” Practice Location

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