Organization
CHRISTIANA CARE BRINTON LAKE ENDOSCOPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS AZAR (DIRECTOR/OFFICER)
(484) 678-8475
Entity
Organization
Contact information
Practice address
500 EVERGREEN DR STE 15, GLEN MILLS, PA 19342-1032
(610) 619-7475
Mailing address
500 EVERGREEN DR STE 15, GLEN MILLS, PA 19342-1032
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/19/2025
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