Organization
BLUE PEAK GROUP SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NURMAMADOV DILSHOD (FOUNDER)
(301) 294-0093
Entity
Organization
Contact information
Practice address
13512 BUSTLETON AVE APT 2109, PHILADELPHIA, PA 19116-1656
(301) 294-0093
Mailing address
13512 BUSTLETON AVE APT 2109, PHILADELPHIA, PA 19116-1656
(301) 294-0093
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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