Individual provider · Type 1 NPI

Russell Chan, DO

Emergency Medicine Physician · Lawrenceville, GA

NPI number 1801213640 Active

Practice location

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694

Call (678) 312-1000 Map

Mailing address

100 Madison Ave
Morristown, NJ 07960-6136

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X84279 (GA)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1801213640

Russell Chan, DO's National Provider Identifier is 1801213640, issued on Mar 18, 2014. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Sep 18, 2025.