Healthcare Provider Details

I. General information

NPI: 1023829892
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: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12221 TULLAMORE ROAD
LUTHERVILLE MD
21093-7816
US

IV. Provider business mailing address

12221 TULLAMORE RD
LUTHERVILLE MD
21093-7816
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARY REBECCA WRIGHT-SISK
Title or Position: DIRECTOR
Credential:
Phone: 443-422-9941