Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRACI M BOLOGNA-JILL, DPM
ActiveDR. TRACI M BOLOGNA-JILL, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in PROVIDENCE, Rhode Island. NPI 1346746062 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · PROVIDENCE, RI
Registration Details
- NPI Number
- 1346746062
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2018 (8.325640892427 yrs)
- Last Updated
- Dec 15, 2022
- License
-
DPM00367 (RI)
Practice Information
- Address
-
1 RANDALL SQ STE 408PROVIDENCE, RI, 029047405Browse RI providers · Browse ZIP 02904
- Phone
- 4014532000
- Fax
- 4012532002
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Other Foot & Ankle Surgery Podiatrist Providers in PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL T NEARY | DPM | 1750357679 |
| KRYSIA L LEPOER | DPM | 1679665111 |
| JAMES T PASCALIDES | DPM | 1285726620 |
| PETER J SARDELLA | DPM | 1114019551 |
| BRIAN F PONTARELLI | DPM | 1194804831 |
| BRANDI KIMBLE | — | 1659788735 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.