# DR. SUSHEEL BATHLA

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

## Provider details

- **NPI number:** 1699071514
- **Authorized official:** DR. SUSHEEL BATHLA DPM (PODIATRIST/OWNER)
- **Authorized official phone:** (917) 826-5709

## Contact information

- **Practice address:** 172 DEER RUN, WATCHUNG, NJ 07069-6222
- **Practice address phone:** (917) 826-5709
- **Mailing address:** 172 DEER RUN, WATCHUNG, NJ 07069-6222
- **Mailing address phone:** (917) 826-5709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 25MD00304500 | NJ | Yes |

## Other

- **Enumeration date:** 02/10/2011
- **Last updated:** 02/10/2011