| Organization Name: | METRO XTRACARE P.C. |
| NPI Number: | 1477958429 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BABAJIDE O RUNSEWE (PRESIDENT) |
| Mailing Address: | 3608 Milford Mill Rd Windsor Mill |
| State: | MD US |
| Postal Code: | 212443328 |
| Phone Number: | 4432727858 |
| Fax Number: | |
| NPI Enumeration Date: | 10/31/2014 |
| NPI Last Update Date: | 07/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | D15720816 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |