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| Company Name: | INTEGRATED DERMATOLOGY MANAGEMENT, LLC |
| Employer identification number (EIN): | 821414340 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Plan Name | Plan Start Date | Plan Effective Date |
|---|---|---|---|
| 501 | INTEGRATED DERMATOLOGY MANAGEMENT LLC HEALTH AND WELFARE PLAN | 2018-01-01 | 2018-01-01 |