Healthcare Provider Details

I. General information

NPI: 1770395980
Provider Name (Legal Business Name): SINAI HOSPITAL OF BALTIMORE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2025
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 OLD COURT ROAD SUITE 301
BALTIMORE MD
21208
US

IV. Provider business mailing address

4000 OLD COURT ROAD SUITE 301
BALTIMORE MD
21208
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-5530
  • Fax:
Mailing address:
  • Phone: 410-601-5530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

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