Healthcare Provider Details

I. General information

NPI: 1396107769
Provider Name (Legal Business Name): MARVIN UTHAMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2016
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1865 ROUTE 70 E
CHERRY HILL NJ
08003-2005
US

IV. Provider business mailing address

1865 ROUTE 70 E
CHERRY HILL NJ
08003-2005
US

V. Phone/Fax

Practice location:
  • Phone: 800-789-7366
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD494788
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA13106500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: