Healthcare Provider Details
I. General information
NPI: 1437076106
Provider Name (Legal Business Name): GUARDIAN HEALTH LTC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/02/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
120 TUCKAHOE RD UNIT 31
MARMORA NJ
08223-9903
US
IV. Provider business mailing address
120 TUCKAHOE RD UNIT 31
MARMORA NJ
08223-9903
US
V. Phone/Fax
- Phone: 732-691-1344
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAHIL
SHAIKH
Title or Position: PRESIDENT
Credential:
Phone: 732-691-1344