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1437512696

NPI Code Detail

MEDICARE: ROZALEEN PHALTAS

MEDICARE: ROZALEEN PHALTAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	28912	NV
2	2080P0203X	Pediatric Critical Care Medicine Physician	32998	WV
3	208000000X	Pediatrics Physician	32998	WV
4	2080P0203X	Pediatric Critical Care Medicine Physician	301579	NY
5	2080P0203X	Pediatric Critical Care Medicine Physician	77205	AZ
6	2080P0203X	Pediatric Critical Care Medicine Physician	15468	SD

General Provider Information

NPI Number	:	1437512696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROZALEEN PHALTAS

Provider Business Mailing Address
First Line	:	1 MEDICAL CENTER DR
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26506-1200
Country	:	US
Telephone Number	:	855-988-2273
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MEDICAL CENTER DR
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26506-1200
Country	:	US
Telephone Number	:	855-988-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2016
Last Update Date	:	06/02/2026

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Directions to “ ROZALEEN PHALTAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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