Healthcare Provider Details

I. General information

NPI: 1790596195
Provider Name (Legal Business Name): SINAI HOSPITAL OF BALTIMORE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 N CHARLES ST STE 512
TOWSON MD
21204-6826
US

IV. Provider business mailing address

6565 N CHARLES ST STE 512
TOWSON MD
21204-6826
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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MARY REBECCA WRIGHT-SISK
Title or Position: DIRECTOR
Credential:
Phone: 443-623-8926