Provider Demographics
NPI:1538158928
Name:HALL, DAHLIA (MD)
Entity type:Individual
Prefix:
First Name:DAHLIA
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:241B MILLBURN AVENUE
Mailing Address - Street 2:SUITE B
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1739
Mailing Address - Country:US
Mailing Address - Phone:973-376-9000
Mailing Address - Fax:973-376-7610
Practice Address - Street 1:75 E NORTHFIELD RD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4532
Practice Address - Country:US
Practice Address - Phone:973-436-1540
Practice Address - Fax:973-533-0197
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA72666208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJDO80312OtherCDS
NJDO80312OtherCDS