# BARNERT REHABILITATION MEDICINE AND PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023328614
- **Authorized official:** DR. SAIRAMACHANDRA R KOLLA MD (OWNER)
- **Authorized official phone:** (973) 689-7179

## Contact information

- **Practice address:** 680 BROADWAY, PATERSON, NJ 07514-1422
- **Practice address phone:** (973) 689-7179
- **Practice address fax:** (973) 689-7180
- **Mailing address:** PO BOX 6455, JERSEY CITY, NJ 07306-0455
- **Mailing address phone:** (973) 689-7179
- **Mailing address fax:** (973) 689-7180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 25MA07867500 | NJ | Yes |

## Other

- **Enumeration date:** 10/15/2010
- **Last updated:** 10/15/2010