Provider Demographics
NPI:1124830658
Name:GUARDIAN HEALTH PARTNERS INC.
Entity type:Organization
Organization Name:GUARDIAN HEALTH PARTNERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAIKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-232-7840
Mailing Address - Street 1:120 TUCKAHOE RD UNIT 31
Mailing Address - Street 2:
Mailing Address - City:MARMORA
Mailing Address - State:NJ
Mailing Address - Zip Code:08223-9903
Mailing Address - Country:US
Mailing Address - Phone:732-232-7840
Mailing Address - Fax:
Practice Address - Street 1:120 TUCKAHOE RD UNIT 31
Practice Address - Street 2:
Practice Address - City:MARMORA
Practice Address - State:NJ
Practice Address - Zip Code:08223-9903
Practice Address - Country:US
Practice Address - Phone:732-232-7840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty