Provider Demographics
NPI:1952411696
Name:HARVEY O'KEEFFE, AMY L (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:HARVEY O'KEEFFE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:LUCKENBAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6 EARLIN AVE STE 290
Mailing Address - Street 2:
Mailing Address - City:BROWNS MILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:08015-1780
Mailing Address - Country:US
Mailing Address - Phone:609-896-1400
Mailing Address - Fax:609-896-3986
Practice Address - Street 1:6 EARLIN AVE STE 290
Practice Address - Street 2:
Practice Address - City:BROWNS MILLS
Practice Address - State:NJ
Practice Address - Zip Code:08015-1780
Practice Address - Country:US
Practice Address - Phone:609-537-7200
Practice Address - Fax:609-896-3986
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09085800207V00000X
PAMD048044L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014680210002Medicaid
NJ09085800OtherNJ IICENSE
PA0014680210002Medicaid