RUSSELL CHAN

LAWRENCEVILLE, GA
NPI1801213640
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: GA  84279)
Enumeration Date2014-03-18
Last Update Date2025-09-18
Business Address
RUSSELL CHAN DO
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046-7694
Phone number: 678-312-1000
Mailing Address
RUSSELL CHAN DO
100 MADISON AVE
MORRISTOWN, NJ 07960-6136
Phone number: 973-971-7926
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