Lookup NPI Numbers from the NPI Registry
NPI Profile for Dr TRACI M BOLOGNA JILL in PROVIDENCE, RI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1346746062 |
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| Status | Active | |
| Credentials | DPM (Doctor of Podiatric Medicine) | |
| Entity | Individual | |
| Enumeration date | 04/02/2018 | |
| Last updated | 12/15/2022 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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TRACI M BOLOGNA JILL
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TRACI M BOLOGNA JILL, DPM