Individual
JACOB ANTHONY CIRICILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3188 BELLEVUE AVE, CINCINNATI, OH 45219-2369
(513) 558-7581
Mailing address
4685 FOREST AVE, CINCINNATI, OH 45212-3397
(513) 865-2246
(513) 865-5552
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
35.151145
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2021
Last updated
08/13/2025
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