| Middletown to Allison Park (Pennsylvania) | 244.46 mi (393.42 km) |
| Middletown to Allouez (Wisconsin) | 391.29 mi (629.73 km) |
| Middletown to Aloha (Oregon) | 1,984.85 mi (3,194.31 km) |
| Middletown to Alpena (Michigan) | 387.79 mi (624.08 km) |
| Middletown to Alpharetta (Georgia) | 375.41 mi (604.17 km) |
| Middletown to Alpine (California) | 1,853.48 mi (2,982.88 km) |
| Middletown to Alpine (Utah) | 1,446.63 mi (2,328.13 km) |
| Middletown to Alsip (Illinois) | 231.69 mi (372.88 km) |
| Middletown to Altadena (California) | 1,891.29 mi (3,043.74 km) |
| Middletown to Altamont (Oregon) | 1,945.71 mi (3,131.32 km) |
| Middletown to Altamonte Springs (Florida) | 768.01 mi (1,235.99 km) |
| Middletown to Alton (Illinois) | 312.49 mi (502.91 km) |
| Middletown to Alton (Texas) | 1,216.78 mi (1,958.22 km) |
| Middletown to Altoona (Iowa) | 500.36 mi (805.26 km) |
| Middletown to Altoona (Pennsylvania) | 323.18 mi (520.10 km) |
