NPI 1770761025

Leo Ryo Otake, MDPHD

Practitioner Plastic Surgery Physician Darien, CT

Practice location

Address: 722 Post Rd, Darien, CT 06820
Phone: (203) 656-9999
Mailing address: 722 Post Rd, Darien, CT 06820-4744

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 046053 (CT)

Other Plastic Surgery providers in Connecticut →

Plastic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 246657 (NY)

Registry record

NPI: 1770761025
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Feb 2008
Record last updated: 14 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.