Back to Search
MBOUTIDEM ETOKAKPAN, MD
MD
Surgery Physician
NPI: 1467851634IndividualAccepts Medicare
Specialties, Licenses & Credentials
Surgery PhysicianPrimary
Surgery
Code: 208600000X
35.138339(OH)MD469829(PA)
CMS Specialties
PrimaryGENERAL SURGERY
Education
OTHER
Class of 2014
Contact & Hours
- Address
- 50 MOISEY DR
HAZLE TOWNSHIP, PA 18202 - Phone
- (570) 501-6900
Quick Facts
- NPI
- 1467851634
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 12
Are you this provider?
Claim Your Profile