Organization
DR. SUSHEEL BATHLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSHEEL BATHLA DPM (PODIATRIST/OWNER)
(917) 826-5709
Entity
Organization
Contact information
Practice address
172 DEER RUN, WATCHUNG, NJ 07069-6222
(917) 826-5709
Mailing address
172 DEER RUN, WATCHUNG, NJ 07069-6222
(917) 826-5709
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
25MD00304500
NJ
Other
Enumeration date
02/10/2011
Last updated
02/10/2011
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