Provider Demographics
NPI:1558784553
Name:SINAI HOSPITAL OF BALTIMORE, INC
Entity Type:Organization
Organization Name:SINAI HOSPITAL OF BALTIMORE, INC
Other - Org Name:SINAI CHILD ABUSE PEDIATRICS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:HERBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-601-5027
Mailing Address - Street 1:2300 N CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-5137
Mailing Address - Country:US
Mailing Address - Phone:410-396-6147
Mailing Address - Fax:410-235-1827
Practice Address - Street 1:2300 N CHARLES ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-5137
Practice Address - Country:US
Practice Address - Phone:410-396-6147
Practice Address - Fax:410-235-1827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-27
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2080C0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080C0008XAllopathic & Osteopathic PhysiciansPediatricsChild Abuse PediatricsGroup - Single Specialty