Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anthony John Wavrin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417489832

Anthony John Wavrin is an Anesthesiology in Bronx, New York. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2017, 9 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group.

Years since qualifying
9
Trained at
Loyola University of Chicago, Stritch School of Medicine
In the registry since
2017
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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-4321
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417489832
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 3, 2017
Last updated in NPPESApril 3, 2017
Mailing address111 E 210th St, Bronx, NY 10467-2401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated

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