Provider Demographics
NPI:1619975778
Name:SWISS ORTHOPEDIC CO. INC.
Entity Type:Organization
Organization Name:SWISS ORTHOPEDIC CO. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HOLGER
Authorized Official - Middle Name:
Authorized Official - Last Name:DRALLMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:LPO
Authorized Official - Phone:908-874-5522
Mailing Address - Street 1:247 US HIGHWAY 206
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4139
Mailing Address - Country:US
Mailing Address - Phone:908-874-5522
Mailing Address - Fax:908-874-8821
Practice Address - Street 1:247 US HIGHWAY 206
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4139
Practice Address - Country:US
Practice Address - Phone:908-874-5522
Practice Address - Fax:908-874-8821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ45P000003100225000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0054402Medicaid
NJ0148270001Medicare ID - Type Unspecified