Healthcare Provider Details

I. General information

NPI: 1386896363
Provider Name (Legal Business Name): SINAI HOSPITAL OF BALTIMORE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 01/28/2022
Certification Date: 01/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 QUARRY LAKE DR SUITE 280
BALTIMORE MD
21209-3742
US

IV. Provider business mailing address

2401 W BELVEDERE AVE CREDENTIALING
BALTIMORE MD
21215-5216
US

V. Phone/Fax

Practice location:
  • Phone: 443-471-3270
  • Fax: 443-471-3271
Mailing address:
  • Phone: 410-601-5523
  • Fax: 410-601-8946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number30-062
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number30-062
License Number StateMD

VIII. Authorized Official

Name: CHARLES B EFIRD
Title or Position: DIRECTOR
Credential:
Phone: 410-601-7019