Healthcare Provider Details

I. General information

NPI: 1043819089
Provider Name (Legal Business Name): SINAI HOSPITAL OF BALTIMORE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2020
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 W BELVEDERE AVE STE 504
BALTIMORE MD
21215-5232
US

IV. Provider business mailing address

2411 W BELVEDERE AVE STE 504
BALTIMORE MD
21215-5232
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-8331
  • Fax: 410-601-5389
Mailing address:
  • Phone: 410-601-8331
  • Fax: 410-601-5389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number
License Number State

VIII. Authorized Official

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