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Traci Bologna-Jill, DPM

NPI 1346746062 · on the registry since 2018

Practice

Address
1 Randall Sq Ste 408
Providence, RI 02904
Phone
(401) 453-2000
Fax
(401) 253-2002
Organisation at this address
Jeffrey Wishik Md
Renee R Eger Md Llc
Sonotec Imaging Inc.
Lepoer Podiatry, Inc.
Lepoer Podiatry, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
71

Registry record

Primary taxonomy
213ES0103X
213ES0103X
Also registered as
390200000X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island