Healthcare Provider Details

I. General information

NPI: 1649017096
Provider Name (Legal Business Name): SINAI HOSPITAL OF BALTIMORE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2024
Last Update Date: 07/12/2024
Certification Date: 07/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5051 GREENSPRING AVE SUITE 304
BALTIMORE MD
21209-4358
US

IV. Provider business mailing address

5051 GREENSPRING AVE SUITE 304
BALTIMORE MD
21209-4358
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-0900
  • Fax: 410-601-0901
Mailing address:
  • Phone: 410-601-0900
  • Fax: 410-601-0901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: DAWN GRAF
Title or Position: DIRECTOR
Credential:
Phone: 410-871-6864