MEDICARE: DR. LEIANNI ANJOLI XUE-LING WONG PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28RI04465600	NJ

General Provider Information

NPI Number	:	1154287910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEIANNI ANJOLI XUE-LING WONG PHARMD

Provider Business Mailing Address
First Line	:	40 PRINCESS DR
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-4105
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2703 US HIGHWAY 130
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-4721
Country	:	US
Telephone Number	:	732-821-1293
Fax Number	:	732-821-1797

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/24/2025
Last Update Date	:	12/24/2025

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