Healthcare Provider Details

I. General information

NPI: 1033134663
Provider Name (Legal Business Name): SINAI HOSPITAL OF BALTIMORE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2435 W BELVEDERE AVE SUITE 46
BALTIMORE MD
21215-5224
US

IV. Provider business mailing address

2401 W BELVEDERE AVE ATTN: CREDENTIALING
BALTIMORE MD
21215-5216
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-6025
  • Fax: 410-601-5835
Mailing address:
  • Phone: 410-601-5524
  • Fax: 410-601-8946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number30-062
License Number StateMD

VIII. Authorized Official

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