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TRACI BOLOGNA-JILL, DPM

DPM

Foot & Ankle Surgery Podiatrist

NPI: 1346746062IndividualAccepts Medicare

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Foot & Ankle Surgery PodiatristPrimary

Podiatrist — Foot & Ankle Surgery

Code: 213ES0103X

DPM00367(RI)

CMS Specialties

PrimaryPODIATRY

Education

NEW YORK COLLEGE OF PODIATRIC MEDICINE

Class of 2018

Contact & Hours

Address
1 RANDALL SQ STE 408
PROVIDENCE, RI 02904

Quick Facts

NPI
1346746062
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
8

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