Provider Demographics
NPI:1538323191
Name:NORTHROP, JOHN KENT JR (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:KENT
Last Name:NORTHROP
Suffix:JR
Gender:M
Credentials:MD, PHD
Other - Prefix:
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Mailing Address - Street 1:3900 WOODLAND AVE
Mailing Address - Street 2:PHILADELPHIA VAMC - 7TH FLOOR MHC
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4551
Mailing Address - Country:US
Mailing Address - Phone:215-432-5275
Mailing Address - Fax:
Practice Address - Street 1:3900 WOODLAND AVE
Practice Address - Street 2:PHILADELPHIA VAMC - 7TH FLOOR MHC
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4551
Practice Address - Country:US
Practice Address - Phone:215-432-5275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4404112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry