Healthcare Provider Details

I. General information

NPI: 1861728479
Provider Name (Legal Business Name): OTICON MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2009
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 HOWARD AVE
SOMERSET NJ
08873-1136
US

IV. Provider business mailing address

580 HOWARD AVE
SOMERSET NJ
08873-1136
US

V. Phone/Fax

Practice location:
  • Phone: 888-277-8014
  • Fax: 732-868-6949
Mailing address:
  • Phone: 888-277-8014
  • Fax: 732-868-6949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. LAURA DIXON
Title or Position: VP
Credential:
Phone: 908-239-3181