Individual
TIMOTHY STEFFEN DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
25MP00588500
NJ
363AS0400X
Surgical Physician Assistant
Primary
25MP00588500
NJ
363AS0400X
Surgical Physician Assistant
PA101814
MA
Other
Enumeration date
10/28/2020
Last updated
10/14/2025
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