Individual provider · Type 1 NPI

Audrey Defusco, MD

Sports Medicine (Internal Medicine) Physician · Portland, ME

NPI number 1801545603 Active

Practice location

22 Bramhall St
Portland, ME 04102-3175

Call (207) 662-0111 Map

Other practice locations

1 Medical Center Dr, Lebanon, NH 03756-0001 · (603) 650-5000
273 County Rd, New London, NH 03257-7700 · (603) 526-2911
10 Alice Peck Day Dr, Lebanon, NH 03766-2900 · (603) 448-3121

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Sports Medicine (Internal Medicine) Physician Primary	207RS0010X	39557 (NH)

Sports Medicine (Internal Medicine) Physician: An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psycho…

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About NPI 1801545603

Audrey Defusco, MD's National Provider Identifier is 1801545603, issued on Mar 21, 2022. The primary taxonomy on file is Sports Medicine (Internal Medicine) Physician (207RS0010X), and the practice location is in Portland, ME. The record was last updated on Sep 10, 2026.