person
Dr. Traci M Bologna-jill, DPM
Foot & Ankle Surgery Podiatrist in Providence, Rhode Island
NPI 1346746062

Traci M Bologna-jill is a Foot & Ankle Surgery Podiatrist based in Providence, RI and is specialized in Foot & Ankle Surgery. Traci M Bologna-jill practices in Providence, RI and has the professional credentials of DPM. The NPI Number for Traci M Bologna-jill is 1346746062 and holds a License No. (Rhode Island).

The current practice location address for Traci M Bologna-jill is 1 Randall Sq Ste 408, Providence, RI and can be reached out via phone at 401-453-2000 and via fax at 401-253-2002.

Location: 1 Randall Sq Ste 408, Providence, RI, 02904-7405
person
Provider Profile Details
NPI Number
1346746062
Provider Name
Traci M Bologna-jill
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1 Randall Sq Ste 408, Providence, RI, 02904-7405
Phone Number
401-453-2000
Fax Number
401-253-2002
Provider Enumeration Date
04/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Randall Sq Ste 408
City
State
Zip
02904-7405
Phone Number
401-453-2000
Fax Number
401-253-2002
person
Provider Business Mailing Address Details
Address
1 Randall Sq Ste 408
City
State
Zip
02904-7405
Phone Number
401-453-2000
Fax Number
401-253-2002
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
DPM00367 (Rhode Island)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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