Provider Demographics
NPI:1356305973
Name:CIRILLO, ROBERT L JR (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:CIRILLO
Suffix:JR
Gender:M
Credentials:MD, MBA
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Mailing Address - Street 1:213 S JEFFERSON ST STE 625
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24011-1713
Mailing Address - Country:US
Mailing Address - Phone:540-224-5374
Mailing Address - Fax:540-224-5684
Practice Address - Street 1:1906 BELLEVIEW AVE SE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-1838
Practice Address - Country:US
Practice Address - Phone:540-981-7083
Practice Address - Fax:540-981-8260
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2021-03-26
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Provider Licenses
StateLicense IDTaxonomies
CAA1064032085R0202X
GA0560922085R0204X
VA01010565192085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology