Provider Demographics
NPI:1427265818
Name:DEL CHESCO UROLOGY
Entity type:Organization
Organization Name:DEL CHESCO UROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUES
Authorized Official - Middle Name:E
Authorized Official - Last Name:DECAESTECKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-521-3150
Mailing Address - Street 1:1 BARTOL AVE
Mailing Address - Street 2:SUITE15
Mailing Address - City:RIDLEY PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19078-2214
Mailing Address - Country:US
Mailing Address - Phone:610-521-3150
Mailing Address - Fax:610-521-3933
Practice Address - Street 1:1 BARTOL AVE
Practice Address - Street 2:SUITE15
Practice Address - City:RIDLEY PARK
Practice Address - State:PA
Practice Address - Zip Code:19078-2214
Practice Address - Country:US
Practice Address - Phone:610-521-3150
Practice Address - Fax:610-521-3933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty