Provider Demographics
NPI:1629311857
Name:GARCIA-LAT, ZENDA (MD)
Entity Type:Individual
Prefix:DR
First Name:ZENDA
Middle Name:
Last Name:GARCIA-LAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 ARCADIAN WAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1245
Mailing Address - Country:US
Mailing Address - Phone:201-843-0700
Mailing Address - Fax:
Practice Address - Street 1:17 ARCADIAN WAY
Practice Address - Street 2:SUITE 103
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1245
Practice Address - Country:US
Practice Address - Phone:201-843-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-06
Last Update Date:2013-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03715700207ZP0102X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology