Individual
DR. JACQUES E DECAESTECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARTOL AVE, SUITE 15, RIDLEY PARK, PA 19078-2214
(610) 521-3150
(610) 521-3933
Mailing address
1 BARTOL AVE, SUITE 15, RIDLEY PARK, PA 19078-2214
(610) 521-3150
(610) 521-3933
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD029825L
PA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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