Healthcare Provider Details

I. General information

NPI: 1841002680
Provider Name (Legal Business Name): SINAI HOSPITAL OF BALTIMORE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2025
Last Update Date: 01/20/2025
Certification Date: 01/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 IDLEWILD AVE 1ST FLOOR
EASTON MD
21601-4088
US

IV. Provider business mailing address

522 IDLEWILD AVE 1ST FLOOR
EASTON MD
21601-4088
US

V. Phone/Fax

Practice location:
  • Phone: 410-820-4888
  • Fax:
Mailing address:
  • Phone: 410-820-4888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

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