# SKP1980 PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548990757
- **Authorized official:** SUMIT PATEL (OWNER)
- **Authorized official phone:** (201) 982-5546

## Contact information

- **Practice address:** 175 E CHESTER PIKE, RIDLEY PARK, PA 19078-2284
- **Practice address phone:** (201) 982-5546
- **Mailing address:** 1817 E YORK ST, SUITE 304, PHILADELPHIA, PA 19125
- **Mailing address phone:** (201) 982-5546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2022
- **Last updated:** 06/13/2022