Provider Demographics
NPI: | 1992544100 |
---|---|
Name: | SINAI HOSPITAL OF BALTIMORE INC |
Entity type: | Organization |
Organization Name: | SINAI HOSPITAL OF BALTIMORE INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CHARLES |
Authorized Official - Middle Name: | B |
Authorized Official - Last Name: | EFIRD |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 410-601-7019 |
Mailing Address - Street 1: | 2700 QUARRY LAKE DR |
Mailing Address - Street 2: | SUITE 240 |
Mailing Address - City: | BALTIMORE |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 21209-3769 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 410-367-2590 |
Mailing Address - Fax: | 410-367-2596 |
Practice Address - Street 1: | 2700 QUARRY LAKE DR |
Practice Address - Street 2: | SUITE 240 |
Practice Address - City: | BALTIMORE |
Practice Address - State: | MD |
Practice Address - Zip Code: | 21209-3769 |
Practice Address - Country: | US |
Practice Address - Phone: | 410-367-2590 |
Practice Address - Fax: | 410-367-2596 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-05-20 |
Last Update Date: | 2024-05-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | Group - Multi-Specialty |