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Organization
BARNERT REHABILITATION MEDICINE AND PHYSICAL THERAPY LLC
Active
Organization
BARNERT REHABILITATION MEDICINE AND PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAIRAMACHANDRA R KOLLA MD (OWNER)
(973) 689-7179
Entity
Organization
Contact information
Practice address
680 BROADWAY, PATERSON, NJ 07514-1422
(973) 689-7179
(973) 689-7180
Mailing address
PO BOX 6455, JERSEY CITY, NJ 07306-0455
(973) 689-7179
(973) 689-7180
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07867500
NJ
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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