Healthcare Provider Details

I. General information

NPI: 1063223170
Provider Name (Legal Business Name): SINAI HOSPITAL OF BALTIMORE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 LOCH RAVEN BLVD STE B
TOWSON MD
21286-8337
US

IV. Provider business mailing address

8000 LOCH RAVEN BLVD STE B
TOWSON MD
21286-8337
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-5864
  • Fax: 410-601-9750
Mailing address:
  • Phone: 410-601-5864
  • Fax: 410-601-9750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

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