Healthcare Provider Details

I. General information

NPI: 1619975778
Provider Name (Legal Business Name): SWISS ORTHOPEDIC CO. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 09/11/2025
Certification Date: 08/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 US HIGHWAY 206
HILLSBOROUGH NJ
08844-4139
US

IV. Provider business mailing address

247 US HIGHWAY 206
HILLSBOROUGH NJ
08844-4139
US

V. Phone/Fax

Practice location:
  • Phone: 908-874-5522
  • Fax: 908-874-8821
Mailing address:
  • Phone: 908-874-5522
  • Fax: 908-874-8821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number45P000003100
License Number StateNJ

VIII. Authorized Official

Name: MR. HOLGER DRALLMEYER
Title or Position: PRESIDENT
Credential: LPO
Phone: 908-874-5522