Organization
SKP1980 PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMIT PATEL (OWNER)
(201) 982-5546
Entity
Organization
Contact information
Practice address
175 E CHESTER PIKE, RIDLEY PARK, PA 19078-2284
(201) 982-5546
Mailing address
1817 E YORK ST, SUITE 304, PHILADELPHIA, PA 19125
(201) 982-5546
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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