Healthcare Provider Details

I. General information

NPI: 1013275981
Provider Name (Legal Business Name): SINAI HOSPITAL OF BALTIMORE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2012
Last Update Date: 01/28/2022
Certification Date: 01/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 W BELVEDERE AVE REHAB PAIN MEDICINE
BALTIMORE MD
21215-5216
US

IV. Provider business mailing address

2401 W BELVEDERE AVE REHAB PAIN MEDICINE
BALTIMORE MD
21215-5216
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-6585
  • Fax: 410-601-9692
Mailing address:
  • Phone: 410-601-6585
  • Fax: 410-601-9692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number30-062
License Number StateMD

VIII. Authorized Official

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