John Alan Detre
MD | Neurology | 39+ years Exp
3400 Civic Center Blvd, 2nd Floor, South Pavilion, Philadelphia
Pennsylvania, 19104-5127
215-662-3606 Maps & DirectionsJohn Alan Detre is a Philadelphia, Pennsylvania based neurologist with 39 years of experience in Neurology. He completed his graduation from Yale University School Of Medicine in 1986. He is also affiliated with hospitals like He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of John Alan Detre is MD039705E for Neurology in Pennsylvania. His current practice location is 3400 Civic Center Blvd, 2nd Floor, South Pavilion, Philadelphia. Patients can reach him at 215-662-3606. John Alan Detre is MD in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1629002399.
John Alan Detre specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
John Alan Detre speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | John Alan Detre |
| Specialization: | Neurology |
| Gender: | Male |
| Credentials: | MD |
| Experience: | 39+ years |
| Medical School Attended: | Yale University School Of Medicine |
| Graduation Year: | 1986 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3400 Civic Center Blvd, 2nd Floor, South Pavilion, Philadelphia,
Pennsylvania, 19104-5127 |
| Phone: | 215-662-3606 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1658407341 |
| Enrollment ID: | I20100406000138 |
| NPI Number: | 1629002399 |
| NPI Enumeration Date: | 10 Jul, 2006 |
| NPI Last Update On: | 10 Aug, 2015 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Alan Detre are as mentioned below.
| License Number | Specialization | State | Status | |
| MD039705E | Neurology | Pennsylvania | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (390111) | Philadelphia, PA | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which John Alan Detre is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| University Of Penn Medical Group (6204730955) | 2750 |
Other Medical Identifiers:
Other legacy medical identifiers associated with John Alan Detre such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0014597100001 | Medicaid | Pennsylvania | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | John Alan Detre
3400 Civic Center Blvd, 2nd Floor, South Pavilion
Philadelphia, Pennsylvania |
| Zip: | 19104-5127 |
| Phone Number: | 215-662-3606 |
Patients can reach John Alan Detre at
3400 Civic Center Blvd, 2nd Floor, South Pavilion, Philadelphia, Pennsylvania or can
call to book an appointment on 215-662-3606.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.