# CHRISTIANA CARE HAVERTOWN ASC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063308096
- **Authorized official:** DOUGLAS AZAR (DIRECTOR/OFFICER)
- **Authorized official phone:** (484) 678-8475

## Contact information

- **Practice address:** 2010 W CHESTER PIKE STE 212, HAVERTOWN, PA 19083-2736
- **Practice address phone:** (610) 853-7700
- **Mailing address:** 2010 W CHESTER PIKE STE 212, HAVERTOWN, PA 19083-2736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2025
- **Last updated:** 06/19/2025
