Healthcare Provider Details

I. General information

NPI: 1437350857
Provider Name (Legal Business Name): METRO RTA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 KENMORE BLVD
AKRON OH
44301
US

IV. Provider business mailing address

416 KENMORE BLVD
AKRON OH
44301
US

V. Phone/Fax

Practice location:
  • Phone: 330-762-7267
  • Fax: 330-564-2230
Mailing address:
  • Phone: 330-762-7267
  • Fax: 330-564-2230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT K PFAFF
Title or Position: EXECUTIVE DIRECTOR SECRETARY TREASU
Credential:
Phone: 330-762-7267