Provider Demographics
NPI:1194997759
Name:BOROCZ, ISTVAN (MD)
Entity type:Individual
Prefix:DR
First Name:ISTVAN
Middle Name:
Last Name:BOROCZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 VILLAGE GATE RD
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-2720
Mailing Address - Country:US
Mailing Address - Phone:925-254-0722
Mailing Address - Fax:
Practice Address - Street 1:221 VILLAGE GATE RD
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-2720
Practice Address - Country:US
Practice Address - Phone:925-254-0722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC-300342086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery