Individual provider · Type 1 NPI
Traci M. Bologna-Jill, DPM
Foot & Ankle Surgery Podiatrist · Providence, RI
NPI number
1346746062
Active
Practice location
1 Randall Sq Ste 408
Providence, RI 02904-7405
Fax (401) 253-2002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | DPM00367 (RI) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
Other foot & ankle surgery podiatrist providers in Providence
- Peter J. Sardella, DPMFoot & Ankle Surgery Podiatrist Providence, RI NPI 1114019551
- Brian F. Pontarelli, DPMFoot & Ankle Surgery Podiatrist Providence, RI NPI 1194804831
- Erik Haniuk, DPMFoot & Ankle Surgery Podiatrist Providence, RI NPI 1255786240
- Tejal Parikh Messana, DPMFoot & Ankle Surgery Podiatrist Providence, RI NPI 1255992392
- James T. Pascalides, DPMFoot & Ankle Surgery Podiatrist Providence, RI NPI 1285726620
- Rachel E. Hutchins, DPMFoot & Ankle Surgery Podiatrist Providence, RI NPI 1417334657
- Mark Stephen Messana, DPMFoot & Ankle Surgery Podiatrist Providence, RI NPI 1427619568
- Brandi KimbleFoot & Ankle Surgery Podiatrist Providence, RI NPI 1659788735
About NPI 1346746062
Traci M. Bologna-Jill, DPM's National Provider Identifier is 1346746062, issued on Apr 2, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Providence, RI. The record was last updated on Dec 15, 2022.