Provider Demographics
NPI:1447328133
Name:BROWN, MARGUERITE MERIWETHER (MD)
Entity type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:MERIWETHER
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:M
Other - Middle Name:MERIWETHER
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:383 MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-4652
Mailing Address - Country:US
Mailing Address - Phone:203-939-7910
Mailing Address - Fax:203-760-0095
Practice Address - Street 1:383 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-4652
Practice Address - Country:US
Practice Address - Phone:203-939-7910
Practice Address - Fax:203-760-0095
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000261992084P0804X
CT0663562084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5115770OtherBCBS