Healthcare Provider Details
I. General information
NPI: 1730990516
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
23 CROSSROADS DR SUITE 410
OWINGS MILLS MD
21117-5420
US
IV. Provider business mailing address
23 CROSSROADS DR SUITE 410
OWINGS MILLS MD
21117-5420
US
V. Phone/Fax
- Phone: 410-581-0700
- Fax:
- Phone: 410-581-0700
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHARLES
B
EFIRD
Title or Position: DIRECTOR
Credential:
Phone: 410-601-7019