Healthcare Provider Details
I. General information
NPI: 1740027358
Provider Name (Legal Business Name): SINAI HOSPITAL OF BALTIMORE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2024
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8000 LOCH RAVEN BLVD
BALTIMORE MD
21286-8337
US
IV. Provider business mailing address
8000 LOCH RAVEN BLVD
BALTIMORE MD
21286-8337
US
V. Phone/Fax
- Phone: 410-661-5800
- Fax: 410-665-4179
- Phone: 410-661-5800
- Fax: 410-665-4179
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHARLES
B
EFIRD
Title or Position: DIRECTOR
Credential:
Phone: 410-601-7019