Provider Demographics
NPI:1124828298
Name:FARREN-CHAVEZ, DONNA MARIE (MS, CGC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:FARREN-CHAVEZ
Suffix:
Gender:
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ST PETERS UNIVERSITY HOSPITAL
Mailing Address - Street 2:254 EASTON AVENUE
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901
Mailing Address - Country:US
Mailing Address - Phone:732-745-6659
Mailing Address - Fax:732-249-2687
Practice Address - Street 1:ST PETERS UNIVERSITY HOSPITAL
Practice Address - Street 2:254 EASTON AVENUE
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901
Practice Address - Country:US
Practice Address - Phone:732-745-6659
Practice Address - Fax:732-249-2687
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MJ00099900170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS