MEDICARE: SINAI HOSPITAL OF BALTIMORE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208C00000X	Colon & Rectal Surgery Physician

General Provider Information

NPI Number	:	1689437311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINAI HOSPITAL OF BALTIMORE INC

Provider Business Mailing Address
First Line	:	8875 CENTRE PARK DR STE D
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2382
Country	:	US
Telephone Number	:	410-601-0601
Fax Number	:

Provider Business Practice Location Address
First Line	:	8875 CENTRE PARK DR STE D
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2382
Country	:	US
Telephone Number	:	410-601-0601
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	CHARLES B EFIRD
Credential	:
Telephone Number	:	410-601-7019

Provider Enumeration Date	:	02/05/2024
Last Update Date	:	02/05/2024

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