Provider Demographics
NPI:1164719043
Name:CLAIRWOOD, MARIMEG QUINN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIMEG
Middle Name:QUINN
Last Name:CLAIRWOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 TAMARACK AVE
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-4829
Mailing Address - Country:US
Mailing Address - Phone:203-797-8990
Mailing Address - Fax:
Practice Address - Street 1:25 TAMARACK AVE
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-4829
Practice Address - Country:US
Practice Address - Phone:203-797-8990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT053821207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology