Provider Demographics
NPI:1629329974
Name:CILIO, MARIA ROBERTA (MD, PHD)
Entity Type:Individual
Prefix:PROF
First Name:MARIA ROBERTA
Middle Name:
Last Name:CILIO
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1228 PACHECO ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-1240
Mailing Address - Country:US
Mailing Address - Phone:415-728-1211
Mailing Address - Fax:415-393-4494
Practice Address - Street 1:505 PARNASSUS AVE
Practice Address - Street 2:M798
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0114
Practice Address - Country:US
Practice Address - Phone:415-502-0277
Practice Address - Fax:415-353-4494
Is Sole Proprietor?:No
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CASFP0000212084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology