Basic Information
| Provider Information | |||||||||
| NPI: | 1861825366 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SINAI HOSPITAL OF BALTIMORE, INC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | SPP INTERNAL MEDICINE AND SPECIALTY CARE | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2700 QUARRY LAKE DR | ||||||||
| Address2: | SUITE 160 | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212093742 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106016840 | ||||||||
| FaxNumber: | 4106014029 | ||||||||
| Practice Location | |||||||||
| Address1: | 2700 QUARRY LAKE DR | ||||||||
| Address2: | SUITE 160 | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212093742 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106016840 | ||||||||
| FaxNumber: | 4106014029 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2013 | ||||||||
| LastUpdateDate: | 01/31/2022 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | EFIRD | ||||||||
| AuthorizedOfficialFirstName: | CHARLES | ||||||||
| AuthorizedOfficialMiddleName: | B | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 4106017019 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 01/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.