Provider Demographics
NPI:1184851560
Name:SINAI HOSPITAL OF BALTIMORE, INC
Entity Type:Organization
Organization Name:SINAI HOSPITAL OF BALTIMORE, INC
Other - Org Name:CLINICAL ASSOCIATES @ CATONSVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:EPKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-601-5524
Mailing Address - Street 1:516 N ROLLING RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4140
Mailing Address - Country:US
Mailing Address - Phone:410-788-7030
Mailing Address - Fax:410-496-7546
Practice Address - Street 1:2401 W BELVEDERE AVE
Practice Address - Street 2:CREDENTIALING
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5216
Practice Address - Country:US
Practice Address - Phone:410-601-5523
Practice Address - Fax:410-601-8946
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SINAI HOSPITAL OF BALTIMORE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30-062207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty