# GENFIT THERAPY LLC

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

## Provider details

- **NPI number:** 1861013401
- **Authorized official:** WILLIAM POWELL (CEO)
- **Authorized official phone:** (973) 518-0361

## Contact information

- **Practice address:** 143 E RIDGEWOOD AVE STE 1169, RIDGEWOOD, NJ 07450-3815
- **Practice address phone:** (973) 518-0361
- **Mailing address:** 143 E RIDGEWOOD AVE STE 1169, RIDGEWOOD, NJ 07450-3815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2020
- **Last updated:** 05/06/2020