There's more than one place called '''Middlesex''':
Middlesex County - the central third of the country (contains the parishes of Clarendon, Manchester, Saint Ann, Saint Catherine, Saint Mary)
Middlesex - an historical county now part of Greater London
Middlesex - a borough in Middlesex County (New Jersey), New Jersey
Middlesex - a town in Yates County, New York (state)
Middlesex - a town in Nash County, North Carolina
Middlesex - a town in Washington County, Vermont
Middlesex Township - in Butler County, Pennsylvania
Middlesex Township - in Cumberland County (Pennsylvania), Pennsylvania
See also: Middlesex County