Organization
METRO XTRACARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAJIDE O RUNSEWE MD (PRESIDENT)
(443) 272-7858
Entity
Organization
Contact information
Practice address
3608 MILFORD MILL RD, WINDSOR MILL, MD 21244-3328
(443) 272-7858
Mailing address
3608 MILFORD MILL RD, WINDSOR MILL, MD 21244-3328
(443) 272-7858
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D15720816
MD
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
D15720816
MD
Other
Enumeration date
10/31/2014
Last updated
07/02/2023
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