Healthcare Provider Details

I. General information

NPI: 1528858719
Provider Name (Legal Business Name): OTICON, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 BRIDGE ST
BILLERICA MA
01821-1023
US

IV. Provider business mailing address

175 SAWIN LN
HOCKESSIN DE
19707-9713
US

V. Phone/Fax

Practice location:
  • Phone: 978-663-2477
  • Fax:
Mailing address:
  • Phone: 917-445-5592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT BERGER
Title or Position: VP OF SALES
Credential: MBA
Phone: 800-984-3272