Otake, Leo Ryo

Otake, Leo Ryo is an individual health care provider with primary practice located at 722 Post Rd , Darien CT 06820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Otake, Leo Ryo can be contacted via phone (203) 656-9999.

Contact Information

Primary practice address
722 Post Rd Darien CT 06820
Phone: (203) 656-9999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 246657 New York
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 046053 Connecticut

Profile Details

NPI number 1770761025
LBN Legal business name Otake, Leo Ryo
Credentials M.D., PH.D,
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2008
Last updated May 14th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770761025 NPPES
Connecticut Other D400026606 INDIVIDUAL MEDICARE PTAN

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