Provider Demographics
NPI:1750442067
Name:CIRILLO, MARIA V (DO)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:V
Last Name:CIRILLO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:V
Other - Last Name:CEDAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 747
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-0747
Mailing Address - Country:US
Mailing Address - Phone:412-561-7246
Mailing Address - Fax:412-235-4011
Practice Address - Street 1:1275 S MAIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5385
Practice Address - Country:US
Practice Address - Phone:412-561-7246
Practice Address - Fax:412-235-4011
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010434L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH56320Medicare UPIN