Healthcare Provider Details

I. General information

NPI: 1912759085
Provider Name (Legal Business Name): SINAI HOSPITAL OF BALTIMORE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2024
Last Update Date: 04/03/2024
Certification Date: 04/03/2024
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: 410-601-4096
  • Fax:
Mailing address:
  • Phone: 410-601-4096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology 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: CHARLES B EFIRD
Title or Position: DIRECTOR
Credential:
Phone: 410-601-7019