Individual
YASSER FARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
725 S COLLEGE AVE, BLUEFIELD, VA 24605-1640
(276) 326-3376
(276) 326-3046
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 948-0291
(561) 859-0429
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0102209822
VA
207N00000X
Dermatology Physician
18932
FL
207N00000X
Dermatology Physician
4821
WV
207ND0101X
MOHS-Micrographic Surgery Physician
0102209822
VA
207ND0101X
MOHS-Micrographic Surgery Physician
4821
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
08/03/2026
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