Provider First Line Business Practice Location Address: 
SINAI HOSPITAL OF BALTIMORE
    Provider Second Line Business Practice Location Address: 
2401 W. BELVEDERE AVENUE
    Provider Business Practice Location Address City Name: 
BALTIMORE
    Provider Business Practice Location Address State Name: 
MD
    Provider Business Practice Location Address Postal Code: 
21215-5216
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
410-601-7639
    Provider Business Practice Location Address Fax Number: 
410-601-6308
    Provider Enumeration Date: 
03/31/2023