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Contact Information

TIMOTHY S DAHL, PA-C
501 SALT WEDGE DR UNIT 5301
CHARLESTON, SC29492-9025
 Phone: 347-964-3084
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TIMOTHY S DAHL · (Male)

NPI # 1518567601
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/28/2020
Last updated 10/14/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • MA License # PA101814
  • NJ License # 25MP00588500
Hospital affiliation(s)
  • VALLEY HOSPITAL - (Acute Care)
    223 N VAN DIEN AVENUE
    RIDGEWOOD, NJ 07450
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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