DR. Traci M Bologna-Jill, DPM
NPI #1346746062 in Providence, Rhode Island
Provider Information
- NPI Number
- 1346746062
- Entity Type
- Individual
- Name
- DR. Traci M Bologna-Jill, DPM
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Credential
- DPM
- Enumeration Date
- Apr 2, 2018
- Last Updated
- Dec 15, 2022
Practice Location
- Address
- 1 RANDALL SQ STE 408
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02904-7405
- Phone
- (401) 453-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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