Healthcare Provider Details

I. General information

NPI: 1588463822
Provider Name (Legal Business Name): SINAI HOSPITAL OF BALTIMORE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5415 OLD COURT RD SUITE S02
RANDALLSTOWN MD
21133-5175
US

IV. Provider business mailing address

5415 OLD COURT RD SUITE S02
RANDALLSTOWN MD
21133-5175
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-5392
  • Fax: 410-601-5757
Mailing address:
  • Phone: 410-601-5392
  • Fax: 410-601-5757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology 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