| Guardian Neurophysiology Llc | |
|
1300 Main Ave Ste 3a Clifton NJ 07011-2266 | |
| (973) 777-0934 | |
| Not Available |
| Full Name | Guardian Neurophysiology Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 1300 Main Ave Ste 3a, Clifton, New Jersey |
| Authorized Official Name and Position | Gregory Vaden Hedgepeth (PARTNER) |
| Authorized Official Contact | 9736324925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guardian Neurophysiology Llc Po Box 51113 Newark NJ 07101-5213 Ph: (973) 777-0934 | Guardian Neurophysiology Llc 1300 Main Ave Ste 3a Clifton NJ 07011-2266 Ph: (973) 777-0934 |
| NPI Number | 1699402321 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699402321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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