| Middletown to El Segundo (California) | 1,912.48 mi (3,077.83 km) |
| Middletown to El Sobrante (California) | 1,863.54 mi (2,999.08 km) |
| Middletown to Eldersburg (Maryland) | 395.43 mi (636.39 km) |
| Middletown to Elfers (Florida) | 785.65 mi (1,264.38 km) |
| Middletown to Elgin (Illinois) | 271.19 mi (436.44 km) |
| Middletown to Elizabeth (New Jersey) | 543.50 mi (874.69 km) |
| Middletown to Elizabeth City (North Carolina) | 495.35 mi (797.18 km) |
| Middletown to Elizabethton (Tennessee) | 247.64 mi (398.53 km) |
| Middletown to Elizabethtown (Kentucky) | 148.76 mi (239.40 km) |
| Middletown to Elizabethtown (Pennsylvania) | 414.43 mi (666.96 km) |
| Middletown to Elk City (Oklahoma) | 872.65 mi (1,404.40 km) |
| Middletown to Elk Grove (California) | 1,976.19 mi (3,180.37 km) |
| Middletown to Elk Grove Village (Illinois) | 256.73 mi (413.16 km) |
| Middletown to Elk Plain (Washington) | 1,960.25 mi (3,154.72 km) |
| Middletown to Elk River (Minnesota) | 617.69 mi (994.08 km) |
