Provider Demographics
NPI:1548518640
Name:CAMPBELL GRUMET, SHERRY (MA, MS, CGC)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:CAMPBELL GRUMET
Suffix:
Gender:F
Credentials:MA, MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 2ND AVE
Mailing Address - Street 2:MONMOUTH MEDICAL CENTER, LEON HESS CANCER CENTER
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-6303
Mailing Address - Country:US
Mailing Address - Phone:732-923-6711
Mailing Address - Fax:732-728-5035
Practice Address - Street 1:300 2ND AVE
Practice Address - Street 2:MONMOUTH MEDICAL CENTER, LEON HESS CANCER CENTER
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-6303
Practice Address - Country:US
Practice Address - Phone:732-923-6711
Practice Address - Fax:732-728-5035
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS