| NPI | 1265121669 |
|---|---|
| Doing Business As | AVITA MD |
| Entity Type | Organization |
| Authorized Contact | PATRICIA SITNITSKY Chief Executive Officer 408-495-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-07-15 |