National Provider Identifier Database

LEO R OTAKE, M.D., PH.D, – NPI #1770761025
Plastic Surgery

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.


Contact Information

LEO R OTAKE, M.D., PH.D,
722 POST RD
DARIEN, CT06820
Phone: 203-656-9999
Fax:
Website:
Specialty Taxonomy Code
* Plastic Surgery 208200000X

* Indicates primary specialty

NPI Profile & details for LEO R OTAKE

NPI Number 1770761025
Credentials M.D., PH.D,
Entity Individual
Enumeration date 02/07/2008
Last updated 05/14/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • CT License #: 046053
  • NY License #: 246657
  • CT Other: D400026606 INDIVIDUAL MEDICARE PTAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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