Organization
SERENITY MEDICAL & WELLNESS CENTER OF FREDERICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIANCA UDUGAMPOLA M.D (OWNER)
(301) 331-6463
Entity
Organization
Contact information
Practice address
801 TOLL HOUSE AVE, SUITE F1, FREDERICK, MD 21701-4564
(240) 561-5163
Mailing address
7820 WORMANS MILL RD STE B, SUITE 243, FREDERICK, MD 21701-3037
(240) 651-5163
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D67750
MD
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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