Provider Demographics
NPI:1982600300
Name:BARWICK, MORVEN C (MD)
Entity Type:Individual
Prefix:
First Name:MORVEN
Middle Name:C
Last Name:BARWICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MORVEN
Other - Middle Name:CAMERON
Other - Last Name:MCILQUHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:65 KANE ST
Mailing Address - Street 2:PROVIDER ENROLLMENT
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06119-2110
Mailing Address - Country:US
Mailing Address - Phone:860-523-6421
Mailing Address - Fax:860-523-3701
Practice Address - Street 1:263 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030-0001
Practice Address - Country:US
Practice Address - Phone:860-679-3186
Practice Address - Fax:860-679-4446
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0141662084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1141662Medicaid
CTE37125Medicare UPIN
CT1141662Medicaid