# SERENITY MEDICAL & WELLNESS CENTER OF FREDERICK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083009658
- **Authorized official:** DR. BIANCA UDUGAMPOLA M.D (OWNER)
- **Authorized official phone:** (301) 331-6463

## Contact information

- **Practice address:** 801 TOLL HOUSE AVE, SUITE F1, FREDERICK, MD 21701-4564
- **Practice address phone:** (240) 561-5163
- **Mailing address:** 7820 WORMANS MILL RD STE B, SUITE 243, FREDERICK, MD 21701-3037
- **Mailing address phone:** (240) 651-5163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D67750 | MD | Yes |

## Other

- **Enumeration date:** 03/31/2015
- **Last updated:** 03/31/2015