Organization
TTSE, LLC
Active
Other names
Structural Elements
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MAKRANCZY (OWNER)
(703) 868-1456
Entity
Organization
Contact information
Practice address
400 MADISON TRADE PLZ SE, LEESBURG, VA 20175-3761
(703) 737-3053
Mailing address
400 MADISON TRADE PLAZA SE, LEESBURG, VA 20175
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
9202
VA
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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