Healthcare Provider Details

I. General information

NPI: 1730472879
Provider Name (Legal Business Name): BOZHO TODORICH MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: BOZO TODORIC MD, PHD

II. Dates (important events)

Enumeration Date: 05/24/2011
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 HARTZDALE DR STE 101
CAMP HILL PA
17011-7843
US

IV. Provider business mailing address

3901 HARTZDALE DR STE 101
CAMP HILL PA
17011-7843
US

V. Phone/Fax

Practice location:
  • Phone: 717-307-2440
  • Fax: 717-420-1019
Mailing address:
  • Phone: 717-307-2440
  • Fax: 717-420-1019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License NumberMD460494
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD460494
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: