Provider Demographics
NPI:1730472879
Name:TODORICH, BOZHO (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:BOZHO
Middle Name:
Last Name:TODORICH
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:BOZO
Other - Middle Name:
Other - Last Name:TODORIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:1251 S CEDAR CREST BLVD, SUITE 307
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103
Mailing Address - Country:US
Mailing Address - Phone:717-798-4096
Mailing Address - Fax:
Practice Address - Street 1:1251 S CEDAR CREST BLVD STE 307
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6214
Practice Address - Country:US
Practice Address - Phone:610-820-6320
Practice Address - Fax:610-820-8376
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD460494207W00000X
MI430116645207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology