Healthcare Provider Details

I. General information

NPI: 1164280459
Provider Name (Legal Business Name): SINAI HOSPITAL OF BALTIMORE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5101 LANIER AVE STE 2
BALTIMORE MD
21215-5321
US

IV. Provider business mailing address

5101 LANIER AVE STE 2
BALTIMORE MD
21215-5321
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-9300
  • Fax:
Mailing address:
  • Phone: 410-601-9300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

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