# GUARDIAN INTRAOPERATIVE NEUROMOMITORING

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

## Provider details

- **NPI number:** 1962849935
- **Authorized official:** DR. DAVID G HARRIS DC (OWNER)
- **Authorized official phone:** (201) 933-5450

## Contact information

- **Practice address:** 576 VALLEY BROOK AVE, LYNDHURST, NJ 07071
- **Practice address phone:** (201) 933-5450
- **Practice address fax:** (201) 933-5452
- **Mailing address:** 576 VALLEY BROOK AVE, LYNDHURST, NJ 07071-1919
- **Mailing address phone:** (201) 933-5450
- **Mailing address fax:** (201) 933-5452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | MC050084 | NJ | Yes |

## Other

- **Enumeration date:** 05/30/2013
- **Last updated:** 05/30/2013
