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1801213640
RUSSELL CHAN
MORRISTOWN, NJ
NPI
1801213640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NJ 25MB09635100)
Enumeration Date
2014-03-18
Last Update Date
2017-11-08
Business Address
RUSSELL CHAN DO
100 MADISON AVE
MORRISTOWN, NJ 07960-6136
Phone number: 973-971-7926
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Mailing Address
RUSSELL CHAN DO
100 MADISON AVE
MORRISTOWN, NJ 07960-6136
Phone number: 973-971-7926
Copy
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