DR. Traci M Bologna-jill, DPM is a foot and ankle surgery podiatrist in Providence, RI with 6 years of experience. DR. Traci M Bologna-jill, DPM NPI is 1346746062. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2018
The provider's business location address is:
1 RANDALL SQ STE 408
PROVIDENCE, RI
ZIP 02904-405
Phone: (401) 453-2000
Fax: (401) 253-2002
The NPI 1346746062 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 4/2/2018 and was last updated on 12/15/2022.