DR. JACQUES E DECAESTECKER MD NPI 1215143094

NPI Information

NPI: 1215143094
Provider Name: DR. JACQUES E DECAESTECKER, MD
Classification: Urology - 208800000X
Entity Type: Individual
Address:
1 BARTOL AVE
SUITE 15
RIDLEY PARK, PA
ZIP 19078
Phone: (610) 521-3150
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DR. Jacques E Decaestecker, MD is an urology in Ridley Park, PA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Jacques E Decaestecker, MD NPI is 1215143094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 BARTOL AVE
SUITE 15
RIDLEY PARK, PA
ZIP 19078-214
Phone: (610) 521-3150
Fax: (610) 521-3933

The enumeration date for this NPI number is 5/16/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology		MD029825L	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B32969	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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